| NPI | 1568169217 |
|---|---|
| Doing Business As | CENTER FOR PROGRESSIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DEANNA MELLOS Administrator 619-248-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2025-05-07 |