Organization
CLINICAL SUPPORT OPTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE GAGE (SUPERVISOR)
(413) 582-0472
Entity
Organization
Contact information
Practice address
17 NEW SOUTH ST, NORTHAMPTON, MA 01060-4073
(413) 584-0472
Mailing address
17 NEW SOUTH ST, NORTHAMPTON, MA 01060-4073
(413) 584-0472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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