Organization
SQUAREONE SERVICES, SPC
Active
Other names
Square One, Square One Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WHITEHEAD (CEO)
(425) 412-3155
Entity
Organization
Contact information
Practice address
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036-7310
(425) 412-3155
(425) 249-3522
Mailing address
21300 68TH AVE W STE 105, LYNNWOOD, WA 98036-7310
(425) 412-3155
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125346
—
WA
Enumeration date
10/04/2018
Last updated
11/04/2021
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