NPI | 1497575740 |
---|---|
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 |