Organization
FULL OF LIFE RECOVERY CENTER OF MASS LLC
Active
Organization
FULL OF LIFE RECOVERY CENTER OF MASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD CLARK (MANAGER)
(609) 509-9533
Entity
Organization
Contact information
Practice address
711 SILVER ST, AGAWAM, MA 01001-2988
(609) 509-9533
Mailing address
711 SILVER ST, AGAWAM, MA 01001-2988
(609) 509-9533
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up