Organization
CLINICAL AND SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DUVAL (DIRECTOR OF THIRD PARTY BILLING)
(413) 582-0472
Entity
Organization
Contact information
Practice address
111 FEDERAL ST, GREENFIELD, MA 01301-2501
(413) 582-0472
Mailing address
111 FEDERAL ST, GREENFIELD, MA 01301-2501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S85501638
LICENSE
MA
Enumeration date
10/03/2011
Last updated
10/03/2011
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