Organization · Type 2 NPI

The Life Center Complex, Inc

Student Health Clinic/Center · Wilmington, DE

NPI number 1669012993 Active

Practice location

700 N Lombard St
Wilmington, DE 19801-4217

Call (302) 429-4102 Map

Fax (302) 429-3956

Mailing address

812 Philadelphia Pike Ste F
Wilmington, DE 19809-2371

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

3 other providers at this address

Lighthouse Therapeutic Mentoring & Counseling Services, LLCClinical Social Worker Wilmington, DE NPI 1801293022
Kathryn MahoneySpeech-Language Pathologist Wilmington, DE NPI 1013485192
Salimatou SoumareMental Health Counselor Wilmington, DE NPI 1346912359

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NPI record

NPI: 1669012993
Entity type: Organization (Type 2)
Issued: Jan 15, 2020
Last updated: Mar 28, 2024
Status: Active

Other names

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The Life Health Center @ Bancroft · doing business as
The Life Health Center @ Bancroft · doing business as

Authorized official

Mr. Forrest Watson
Executive Director
(302) 407-5316

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669012993

The Life Center Complex, Inc's National Provider Identifier is 1669012993, issued on Jan 15, 2020. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Wilmington, DE. The record was last updated on Mar 28, 2024.