Organization
NORTHSTAR LEARNING CENTERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY OWENS LICSW (DIRECTOR OF CLINICAL SERVICES)
(774) 992-0129
Entity
Organization
Contact information
Practice address
53 LINDEN ST, NEW BEDFORD, MA 02740-6904
(774) 992-0129
(508) 984-3389
Mailing address
53 LINDEN ST, NEW BEDFORD, MA 02740-6904
(774) 992-0129
(508) 984-3389
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982890794
NPI
MA
Enumeration date
07/26/2016
Last updated
02/23/2018
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