| NPI | 1942622022 |
|---|---|
| Doing Business As | GOODLIFE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | STUART CLARK Executive VP 703-760-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2016-07-08 |