NPI | 1093488355 |
---|---|
Doing Business As | GOOD LIFE THERAPY, LLC |
Entity Type | Organization |
Authorized Contact | ANNA ZUIDEMA Clinical Director 515-314-9886 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-07-31 |
Last Update Date | 2021-08-24 |