| 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 |
| 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 |