Organization
GREATER NEW LIFE CHRISTIAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS STIMAGE-NORWOOD REV. (EXECUTIVE DIRECTOR)
(413) 304-2077
Entity
Organization
Contact information
Practice address
1323 WORCESTER ST, INDIAN ORCHARD, MA 01151-1621
(413) 304-2077
(413) 304-2078
Mailing address
1323 WORCESTER ST, INDIAN ORCHARD, MA 01151-1621
(413) 304-2077
(413) 304-2078
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0869
MA
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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