| NPI | 1912545518 |
|---|---|
| Doing Business As | THE LIFE HEALTH CENTER @ MCCULLOUGH |
| Doing Business As | THE LIFE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FORREST WATSON Executive Director 302-407-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |