NPI | 1710450036 |
---|---|
Doing Business As | ELEOS COGNITIVE CENTER |
Entity Type | Organization |
Authorized Contact | JOEL A PENGSON CEO 951-500-1152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
133V00000X Dietitian, Registered | |
175T00000X Peer Specialist | |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | |
1835P1200X Pharmacist, Pharmacotherapy | |
225XM0800X Occupational Therapist, Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP1700X Nurse Practitioner, Perinatal | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2023-02-07 |