| NPI | 1770426066 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER AT EARLY COLLEGE |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON CEO 302-407-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 1041C0700X Social Worker, Clinical | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2026-04-11 |
| Last Update Date | 2026-04-11 |