OrganizationActive
Full of Life Recovery Center of Mass LLC
NPI 1548110901 · Substance Abuse Rehabilitation Facility · Agawam, MA
Provider details
- NPI number
- 1548110901
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gerard Clark, Manager(609) 509-9533
Specialties & taxonomies
Residential Treatment Facilities
Practice location
711 Silver St
Agawam, MA 01001-2988
Phone: (609) 509-9533
Approximate (ZIP-level) locationGet directions
Mailing address
711 Silver St
Agawam, MA 01001-2988
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.