| NPI | 1154196632 |
|---|---|
| Doing Business As | FOUR SQUARE CLINICALS |
| Entity Type | Organization |
| Authorized Contact | STEVEN THOMAS HUERTA Clinical Director 775-238-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-11-18 |