| NPI | 1558884254 |
|---|---|
| Doing Business As | SQUARE ONE RESTORATIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRENDA L MCCLOUD Administrator 865-219-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |