| NPI | 1053793216 |
|---|---|
| Doing Business As | COUNSELING & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY A ELLIS Owner 760-832-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 16686) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-08-01 |