International Center for Behavioral Health
NPI #1043536998 in La Jolla, California
Provider Information
- NPI Number
- 1043536998
- Entity Type
- Organization
- Organization Name
- International Center for Behavioral Health
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 18, 2010
- Last Updated
- Apr 18, 2010
Practice Location
- Address
- 3252 HOLIDAY CT
- Address 2
- STE 108
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-0027
- Phone
- (858) 729-4668
Authorized Official
- Name
- DMITRIY SIVTSOV
- Title
- DIRECTOR
- Phone
- (858) 729-4770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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