Provider Demographics
NPI:1528406147
Name:CLINICAL SUPPORT OPTIONS
Entity Type:Organization
Organization Name:CLINICAL SUPPORT OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:TORREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-582-0471
Mailing Address - Street 1:8 ATWOOD DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4272
Mailing Address - Country:US
Mailing Address - Phone:413-582-0471
Mailing Address - Fax:413-585-9765
Practice Address - Street 1:8 ATWOOD DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4272
Practice Address - Country:US
Practice Address - Phone:413-582-0471
Practice Address - Fax:413-585-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health