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
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