| NPI | 1710725494 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER @ EDGEMONT |
| 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 | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |