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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1568926376 |
| LBN Legal business name | SQUARE ONE HEALTH LLC |
| Authorized official | JUSTIN DUFOUR - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/25/2019 |
| Last updated | 09/07/2021 - About 5 years ago |
| Identifiers | n/a |
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SQUARE ONE HEALTH LLC