OrganizationActive
The Life Center Complex, Inc
NPI 1710725494 · Student Health Clinic/Center · Chester, PA
Provider details
- NPI number
- 1710725494
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- The Life Center Complex, Inc
- Organization subpart
- Yes
- Authorized official
- Forrest Watson, Ceo(302) 407-5316
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Practice location
1350 Edgmont Ave
Chester, PA 19013-3962
Phone: (302) 407-5316
Approximate (ZIP-level) locationGet directions
Mailing address
812 Philadelphia Pike Fl 2
Wilmington, DE 19809-2372
Other names (DBA / former)
- Doing business as
- The Life Health Center @ Edgemont
Registry dates
- Enumerated
- 2024-07-17
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.