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SQUARE ONE WELLNESS CENTER INC. NPI 1467525873


NPI Information

NPI: 1467525873
Provider Name: SQUARE ONE WELLNESS CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1804 MARTIN LUTHER KING PKWY STE 111
DURHAM, NC
ZIP 27707
Phone: (704) 956-3062
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SQUARE ONE WELLNESS CENTER, INC. is a community behavioral health in Durham, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SQUARE ONE WELLNESS CENTER, INC. NPI is 1467525873. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1804 MARTIN LUTHER KING PKWY STE 111
DURHAM, NC
ZIP 27707-587
Phone: (704) 956-3062

The provider's authorized official is Demetrius Crayton .
The authorized official title is Ed and has the following contact phone number (704) 956-3062.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.