| NPI | 1043798366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-552-3574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-01-18 |