Provider Demographics
NPI:1194324533
Name:GOOD PATH HEALTH SERVICES INC
Entity type:Organization
Organization Name:GOOD PATH HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ONYEBUCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:339-502-0871
Mailing Address - Street 1:117 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3557
Mailing Address - Country:US
Mailing Address - Phone:339-502-0871
Mailing Address - Fax:786-590-1954
Practice Address - Street 1:117 BROADWAY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3557
Practice Address - Country:US
Practice Address - Phone:339-502-0871
Practice Address - Fax:786-590-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-17
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service