OrganizationActive
The Life Center Complex, Inc
NPI 1770808578 · Community Health Clinic/Center · Wilmington, DE
Provider details
- NPI number
- 1770808578
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Forrest Watson, President(302) 552-3574
- License
- 71788 (DE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1624 Jessup St
Wilmington, DE 19802-4210
Phone: (302) 552-3574
Fax: (302) 552-3561
Street-level locationGet directions
Mailing address
812 Philadelphia Pike Ste F
Wilmington, DE 19809-2371
Registry dates
- Enumerated
- 2010-04-05
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.