The Life Center Complex, INC
NPI #1770808578 in Wilmington, Delaware
Provider Information
- NPI Number
- 1770808578
- Entity Type
- Organization
- Organization Name
- The Life Center Complex, INC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Apr 5, 2010
- Last Updated
- Mar 28, 2024
Practice Location
- Address
- 1624 JESSUP ST
- City
- Wilmington
- State
- Delaware
- ZIP Code
- 19802-4210
- Phone
- (302) 552-3574
Authorized Official
- Name
- MR. FORREST WATSON III, MBA
- Title
- PRESIDENT
- Phone
- (302) 552-3574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Group Psychotherapy — Group Psychotherapy |
| Clinic/Center - Community Health — Community Health |
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