Square One Wellness Center, Inc.

LBN: Square One Wellness Center, Inc.
Square One Wellness Center, Inc. is an health care organization with primary practice located at 1804 Martin Luther King Pkwy Ste 111 , Durham NC 27707-3587. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Square One Wellness Center, Inc. can be contacted via phone (704) 956-3062, or through Crayton, Demetrius via phone (704) 956-3062.

Contact Information

Primary practice address
1804 Martin Luther King Pkwy Ste 111 Durham NC 27707-3587
Phone: (704) 956-3062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crayton, Demetrius Bachelor of Arts (BA)
Phone: (704) 956-3062

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1467525873
LBN Legal business name Square One Wellness Center, Inc.
DBA Doing business as
Authorized official Crayton, Demetrius Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 8th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers