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Organization
SQUARE ONE WELLNESS CENTER, INC.
Active
Organization
SQUARE ONE WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS CRAYTON B.A. (ED)
(704) 956-3062
Entity
Organization
Contact information
Practice address
1804 MARTIN LUTHER KING PKWY STE 111, DURHAM, NC 27707-3587
(704) 956-3062
Mailing address
1804 MARTIN LUTHER KING PKWY STE 111, DURHAM, NC 27707-3587
(704) 956-3062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
03/08/2017
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