Organization · Type 2 NPI
Greater New Life Christian Center
Adult Mental Health Clinic/Center · Indian Orchard, MA
NPI number
1164796322
Active
Practice location
1323 Worcester St
Indian Orchard, MA 01151-1621
Fax (413) 304-2078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 0869 (MA) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1164796322
Greater New Life Christian Center's National Provider Identifier is 1164796322, issued on Mar 5, 2012. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Indian Orchard, MA. The record was last updated on Mar 5, 2012.