Full Of Life Recovery Center Of Mass LLC
Substance Abuse Rehabilitation Facility in Agawam, MA. Organization (NPI-2).
NPI number1548110901
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1548110901
- Entity type
- Organization (NPI-2)
- Legal business name
- Full Of Life Recovery Center Of Mass LLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
711 Silver StAgawam, MA 01001-2988
Phone 609-509-9533
Mailing address
711 Silver StAgawam, MA 01001-2988
Phone 609-509-9533
Authorized official
Gerard Clark
Manager
6095099533
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