# NORTHSTAR LEARNING CENTERS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639622749
- **Authorized official:** MR. JIMMY OWENS LICSW (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (774) 992-0129

## Contact information

- **Practice address:** 53 LINDEN ST, NEW BEDFORD, MA 02740-6904
- **Practice address phone:** (774) 992-0129
- **Practice address fax:** (508) 984-3389
- **Mailing address:** 53 LINDEN ST, NEW BEDFORD, MA 02740-6904
- **Mailing address phone:** (774) 992-0129
- **Mailing address fax:** (508) 984-3389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MA | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 02/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1982890794 | NPI | MA |