| NPI | 1508473034 |
|---|---|
| Doing Business As | FOUR SQUARE CLINICALS |
| Entity Type | Organization |
| Authorized Contact | STEVEN THOMAS HUERTA Director 775-238-3082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2024-11-18 |