| Greater New Life Christian Center | |
|
1323 Worcester St Indian Orchard MA 01151-1621 | |
| (413) 304-2077 | |
| (413) 304-2078 |
| Full Name | Greater New Life Christian Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1323 Worcester St, Indian Orchard, Massachusetts |
| Authorized Official Name and Position | Morris Stimage-norwood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4133042077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater New Life Christian Center 1323 Worcester St Indian Orchard MA 01151-1621 Ph: (413) 304-2077 | Greater New Life Christian Center 1323 Worcester St Indian Orchard MA 01151-1621 Ph: (413) 304-2077 |
| NPI Number | 1164796322 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164796322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0869 (Massachusetts) | Primary |
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