Full of Life Recovery Center of Mass LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FULL OF LIFE RECOVERY CENTER OF MASS LLC

Practice address

711 Silver St
Agawam, MA 01001-2988

Phone

(609) 509-9533

NPI assigned

Feb 3, 2026

Organization subpart

No

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

Authorized official

Name

Gerard Clark

Title

Manager

Phone

(609) 509-9533

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1548110901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SILVER ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012988",
            "telephone_number": "609-509-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SILVER ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012988",
            "telephone_number": "609-509-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL OF LIFE RECOVERY CENTER OF MASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-509-9533"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Agawam, MA
• Providers in Agawam, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.