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A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Community/Behavioral Health |
251S00000X |
| NPI Number | 1154196632 |
| LBN Legal business name | ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION |
| Authorized official | STEVEN HUERTA - (CLINICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/15/2023 |
| Last updated | 04/13/2026 - About 2 months ago |
| Identifiers | n/a |
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ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION