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NPI Code Detail

MEDICARE: CLINICAL & SUPPORT OPTIONS, INC.

MEDICARE: CLINICAL & SUPPORT OPTIONS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency1130MA

General Provider Information

NPI Number : 1386976215
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAL & SUPPORT OPTIONS, INC.
Provider Business Mailing Address
First Line : 1 ARCH PL
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-2457
Country : US
Telephone Number : 413-774-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1 ARCH PL
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-2457
Country : US
Telephone Number : 413-774-1000
Fax Number :
Authorized Official
Title or Position : THIRD PARTY OPERATIONS MANAGER
Name : MRS. NELIDA RODRIGUEZ
Credential :
Telephone Number : 413-737-9544
Provider Enumeration Date : 02/03/2010
Last Update Date : 02/03/2010

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Directions to “CLINICAL & SUPPORT OPTIONS, INC. ” Practice Location

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