Organization
CLINICAL AND SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD NOVAK (FAMILY SUPPORT WORKER)
(413) 236-5656
Entity
Organization
Contact information
Practice address
877 SOUTH ST, PITTSFIELD, MA 01201-8242
(413) 236-5656
Mailing address
877 SOUTH ST, PITTSFIELD, MA 01201-8242
(413) 236-5656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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