Healthcare Provider Details

I. General information

NPI: 1710828611
Provider Name (Legal Business Name): CLINICAL & SUPPORT OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 INDUSTRIAL DR E
NORTHAMPTON MA
01060-2351
US

IV. Provider business mailing address

8 ATWOOD DR
NORTHAMPTON MA
01060-4266
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-6750
  • Fax:
Mailing address:
  • Phone: 413-773-1314
  • Fax: 413-773-0239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number State

VIII. Authorized Official

Name: CORI HEETER
Title or Position: DIRECTOR, THIRD PARTY REVENUE
Credential:
Phone: 413-773-1314