| 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 Psychiatric/Mental Health | |
| 363LP1700X Nurse Practitioner Perinatal | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-02-07 |