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Organization
CENTRAL SQUARE THERAPY ASSOCIATES
Active
Organization
CENTRAL SQUARE THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMADO FRANK HERNANDEZ PHD (CO-OWNER)
(781) 592-6100
Entity
Organization
Contact information
Practice address
150 MARKET ST, 2ND FL, LYNN, MA 01901-1529
(781) 592-6100
(781) 592-1093
Mailing address
150 MARKET ST, 2ND FL, LYNN, MA 01901-1529
(781) 592-6100
(781) 592-1093
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
MA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
MA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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