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Organization
THE LIFE CENTER COMPLEX, INC
Active
Organization
THE LIFE CENTER COMPLEX, INC
Active
Parent organization
THE LIFE CENTER COMPLEX, INC
Other names
The Life Health Center at Hope House
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIFE CENTER COMPLEX, INC
Authorized official
MR. FORREST WATSON (CEO)
(302) 407-5316
Entity
Organization
Contact information
Practice address
2814 W 2ND ST, WILMINGTON, DE 19805-1807
(302) 407-5316
Mailing address
812 PHILADELPHIA PIKE STE F, WILMINGTON, DE 19809-2371
(302) 407-5316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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