Organization · Type 2 NPI

Square Medical Group LLC

Adult Mental Health Clinic/Center · Watertown, MA

NPI number 1356515464 Active

Practice location

124 Watertown St, Suite 2D
Watertown, MA 02472-2576

Fax (617) 467-4073

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850X152859 (MA)
Adolescent and Children Mental Health Clinic/Center 261QM0855X152859 (MA)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1356515464

Square Medical Group LLC's National Provider Identifier is 1356515464, issued on Apr 18, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Watertown, MA. The record was last updated on Aug 13, 2015.