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Square Medical Group Llc
Adolescent and Children Mental Health Clinic/Center in Watertown, Massachusetts
NPI 1356515464

Square Medical Group Llc is an Adolescent and Children Mental Health Clinic/Center based in Watertown, MA and is specialized in Adolescent and Children Mental Health. Square Medical Group Llc practices in Watertown, MA. The NPI Number for Square Medical Group Llc is 1356515464 and holds a License No. 152859 (Massachusetts).

The current practice location address for Square Medical Group Llc is 124 Watertown St, Watertown, MA and can be reached out via phone at 617-916-5069 and via fax at 617-467-4073.

Location: 124 Watertown St, Watertown, MA, 02472-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356515464
Provider Name
Square Medical Group Llc
Credential
Provider Entity Type
Organization
Address
124 Watertown St, Watertown, MA, 02472-2576
Phone Number
617-916-5069
Fax Number
617-467-4073
Provider Enumeration Date
04/18/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3173615 05 MA
institution
Provider Business Practice Location Address Details
Address
124 Watertown St
City
Watertown
State
Massachusetts
Zip
02472-2576
Phone Number
617-916-5069
Fax Number
617-467-4073
person
Provider Business Mailing Address Details
Address
124 Watertown St
City
Watertown
State
Massachusetts
Zip
02472-2576
Phone Number
617-916-5069
Fax Number
617-467-4073
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
152859 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
152859 (Massachusetts)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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