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Good Life Mental Halth Services Llc
Adult Mental Health Clinic/Center in Dayton, Minnesota
NPI 1104595586

Good Life Mental Halth Services Llc is an Adult Mental Health Clinic/Center based in San Diego, MN and is specialized in Adult Mental Health. Good Life Mental Halth Services Llc practices in Dayton, MN. The NPI Number for Good Life Mental Halth Services Llc is 1104595586 and holds a License No. (Minnesota).

The current practice location address for Good Life Mental Halth Services Llc is 13406 Pineview Ct, Dayton, MN and can be reached out via phone at 612-636-9268.

Location: 13406 Pineview Ct, Dayton, MN, 92172-2793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104595586
Provider Name
Good Life Mental Halth Services Llc
Credential
Provider Entity Type
Organization
Address
13406 Pineview Ct, Dayton, MN, 92172-2793
Phone Number
612-636-9268
Fax Number
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912367954 01 CA DIRECT PAY
1982123105 05 MN
institution
Provider Business Practice Location Address Details
Address
13406 Pineview Ct
City
Dayton
State
Minnesota
Zip
55327-4500
Phone Number
612-636-9268
Fax Number
person
Provider Business Mailing Address Details
Address
13406 Pineview Ct
City
Dayton
State
Minnesota
Zip
55327-4500
Phone Number
612-636-9268
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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