Organization
CLINICAL & SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERINA RODRIGUEZ (FAMILY SUPPORT WORKER)
(413) 233-8742
Entity
Organization
Contact information
Practice address
15 VADNAIS ST, EAST LONGMEADOW, MA 01028-1934
(413) 233-8742
Mailing address
15 VADNAIS ST, EAST LONGMEADOW, MA 01028-1934
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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