Organization
COMMUNITY SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE RODRIGUEZ (THIRD PARTY OPERATIONS MANAGER)
(413) 737-9544
Entity
Organization
Contact information
Practice address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-9490
(978) 249-9514
Mailing address
130 MAPLE ST, SUITE 325, SPRINGFIELD, MA 01103-2202
(413) 737-9544
(413) 737-4455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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