Organization
FOUR SQUARE CLINICALS OF CALIFORNIA A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HUERTA DNP, PMHNP-BC (CLINICAL OPERATIONS DIRECTOR)
(714) 345-6944
Entity
Organization
Contact information
Practice address
418 N CLINE COURT, PLACENTIA, CA 92870
(714) 345-6944
Mailing address
650 N ROSE DRIVE, SUITE 472, PLACENTIA, CA 92870
(714) 345-6944
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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