GREATER NEW LIFE CHRISTIAN CENTER NPI 1164796322

NPI Information

NPI: 1164796322
Provider Name: GREATER NEW LIFE CHRISTIAN CENTER
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1323 WORCESTER ST
INDIAN ORCHARD, MA
ZIP 01151
Phone: (413) 304-2077
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GREATER NEW LIFE CHRISTIAN CENTER is an adult mental health clinic center in Indian Orchard, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GREATER NEW LIFE CHRISTIAN CENTER NPI is 1164796322. The provider is registered as an organization entity type.

The provider's business location address is:

1323 WORCESTER ST
INDIAN ORCHARD, MA
ZIP 01151-621
Phone: (413) 304-2077
Fax: (413) 304-2078

The provider's authorized official is Morris Stimage-norwood .
The authorized official title is Executive Director and has the following contact phone number (413) 304-2077.

The enumeration date for this NPI number is 3/5/2012 and was last updated on 3/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0869	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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