Organization
SQUARE ONE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PACE (BILLING)
(330) 565-6972
Entity
Organization
Contact information
Practice address
3418 LAKE AVE, ASHTABULA, OH 44004-5763
(440) 650-5030
Mailing address
3418 LAKE AVE, ASHTABULA, OH 44004-5763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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