| San Diego Center Of Individual And Family Well-being Inc. | |
|
4025 Camino Del Rio S Ste 300 San Diego CA 92108-4108 | |
| (619) 542-7745 | |
| (619) 535-0222 |
| Full Name | San Diego Center Of Individual And Family Well-being Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4025 Camino Del Rio S Ste 300, San Diego, California |
| Authorized Official Name and Position | Brian Buzzella (PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 6174595661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Center Of Individual And Family Well-being Inc. 5811 Adobe Falls Rd San Diego CA 92120-4672 Ph: (617) 459-5661 | San Diego Center Of Individual And Family Well-being Inc. 4025 Camino Del Rio S Ste 300 San Diego CA 92108-4108 Ph: (619) 542-7745 |
| NPI Number | 1427683788 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427683788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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