| NPI | 1689404030 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER AT FREIRE |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-407-5316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |