Organization
SAN DIEGO CENTER OF INDIVIDUAL AND FAMILY WELL-BEING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BUZZELLA PH.D., ABPP (PSYCHOLOGIST/PRESIDENT)
(617) 459-5661
Entity
Organization
Contact information
Practice address
4025 CAMINO DEL RIO S STE 300, SAN DIEGO, CA 92108-4108
(619) 542-7745
(619) 535-0222
Mailing address
5811 ADOBE FALLS RD, SAN DIEGO, CA 92120-4672
(617) 459-5661
(619) 535-0222
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/09/2020
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