Greater New Life Christian Center

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0869 Issued in MA

Legal business name

GREATER NEW LIFE CHRISTIAN CENTER

Practice address

1323 Worcester St
Indian Orchard, MA 01151-1621

Phone

(413) 304-2077

Fax

(413) 304-2078

NPI assigned

Mar 5, 2012

Last updated

Mar 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Morris Stimage-Norwood, REV.

Title

Executive Director

Phone

(413) 304-2077

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1164796322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 WORCESTER ST",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511621",
            "telephone_number": "413-304-2077",
            "fax_number": "413-304-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 WORCESTER ST",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511621",
            "telephone_number": "413-304-2077",
            "fax_number": "413-304-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW LIFE CHRISTIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "STIMAGE-NORWOOD",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-304-2077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REV."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "0869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Elizabeth Farrow
• Alma Flores
• Maegen Foote, COTA/L
• Darlene Catherine Fox, LMHC
• Zaida I Govan, MSW, LADC1, LCSW
• Tracy L Hill
• Raabiyah Legree
• Listening With Love LLC
• Brandon Loyd
• Aimee Ludwin

• Adult Mental Health Clinic/Center in Indian Orchard, MA
• Providers in Indian Orchard, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.