Agnis Pena-toro Corp | |
318 Rindge Ave Cambridge MA 02140-3149 | |
(617) 230-0069 | |
(617) 714-4916 |
Full Name | Agnis Pena-toro Corp |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 318 Rindge Ave, Cambridge, Massachusetts |
Authorized Official Name and Position | Agnis J Pena-toro (PSYCHOTHERAPIST - CEO) |
Authorized Official Contact | 6172300069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Agnis Pena-toro Corp 318 Rindge Ave Unit 301 Cambridge MA 02140-3149 Ph: (617) 230-0069 | Agnis Pena-toro Corp 318 Rindge Ave Cambridge MA 02140-3149 Ph: (617) 230-0069 |
NPI Number | 1205685583 |
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Provider Enumeration Date | 05/17/2024 |
Last Update Date | 05/23/2024 |
Certification Date | 05/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205685583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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