| NPI | 1013586106 | 
|---|---|
| Doing Business As | LIFE HEALTH @ BAYARD | 
| Entity Type | Organization | 
| Authorized Contact | FORREST WATSON Executive Director 302-407-5316  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health | 
| Enumeration Date | 2021-06-22 | 
| Last Update Date | 2024-01-18 |