International Center For Behavioral Health | |
3252 Holiday Ct Ste 108 La Jolla CA 92037-0027 | |
(858) 729-4668 | |
Not Available |
Full Name | International Center For Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 3252 Holiday Ct, La Jolla, California |
Authorized Official Name and Position | Dmitriy Sivtsov (DIRECTOR) |
Authorized Official Contact | 8587294770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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International Center For Behavioral Health 4146 Caminito Cassis San Diego CA 92122-1975 Ph: () - | International Center For Behavioral Health 3252 Holiday Ct Ste 108 La Jolla CA 92037-0027 Ph: (858) 729-4668 |
NPI Number | 1043536998 |
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Provider Enumeration Date | 04/18/2010 |
Last Update Date | 04/18/2010 |
Identifier | Type | State | Issuer |
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1043536998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | A88348 (California) | Primary |
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