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 |
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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 |
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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 |
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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 |
Listening With Love Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Indian Orchard, MA 01151 Phone: 413-301-2533 Fax: 413-304-7069 |