Organization
CLINICAL AND SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLIE RODRIGUEZ (BILLING MANAGER)
(413) 737-9544
Entity
Organization
Contact information
Practice address
877 SOUTH ST, SUITE 200, PITTSFIELD, MA 01201-8242
(413) 235-5656
(413) 499-6572
Mailing address
877 SOUTH ST, SUITE 200, PITTSFIELD, MA 01201-8242
(413) 235-5656
(413) 499-6572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831265115
NPI NUMBER
MA
Enumeration date
01/08/2014
Last updated
01/08/2014
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