| NPI | 1497575740 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER AT HOPE HOUSE |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-407-5316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |