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Organization
MORENO VALLEY CMHC
Active
Organization
MORENO VALLEY CMHC
Active
Other names
Eleos Cognitive Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL A PENGSON MD (CEO)
(951) 500-1152
Entity
Organization
Contact information
Practice address
23180 HEMLOCK AVE STE 100, MORENO VALLEY, CA 92557-8001
(951) 500-1152
Mailing address
PO BOX 220, MORENO VALLEY, CA 92556-0220
(951) 266-9880
(951) 289-7964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133V00000X
Registered Dietitian
—
—
175T00000X
Peer Specialist
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
1835P1200X
Pharmacotherapy Pharmacist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP1700X
Perinatal Nurse Practitioner
—
—
Other
Enumeration date
01/09/2019
Last updated
02/07/2023
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