Healthcare Provider Details

I. General information

NPI: 1831265115
Provider Name (Legal Business Name): CLINICAL & SUPPORT OPTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 03/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ARCH PL
GREENFIELD MA
01301-2457
US

IV. Provider business mailing address

1 ARCH PL
GREENFIELD MA
01301-2457
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-1000
  • Fax: 413-774-1776
Mailing address:
  • Phone: 413-774-1000
  • Fax: 413-774-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KARIN JEFFERS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 413-773-1314