NPI | 1366114522 |
---|---|
Doing Business As | LIFE HEALTH @ STUBBS |
Entity Type | Organization |
Authorized Contact | FORREST WATSON Executive Director 302-407-5316 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
Enumeration Date | 2021-10-05 |
Last Update Date | 2024-03-28 |