| NPI | 1922897438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG ELWOOD President 951-514-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-10-07 |