Psychiatric nurse practitioner Ajay Kumra, PMHNP-BC operates from Suite 201 at 6719 Alvarado Rd in Grantville, San Diego, CA 92120, where he co-founded Resilience Integrative Wellness in 2023 alongside Marilyn Kumra, APRN, CRNA, a certified nurse anesthetist with over 30 years of clinical experience. Kumra is an Army veteran who earned his master's in nursing from the University of San Diego and completed Azusa Pacific's Psychiatric Nurse Practitioner Program. Primary care physicians in the Grantville and Allied Gardens networks, including Inspire Wellness: Habib Dalhoumi, MD, refer patients whose depressive or anxiety disorders have not responded to first-line SSRI and SNRI protocols to Kumra's interventional track. His practice areas include child and adolescent mental health, geriatric psychiatry, crisis intervention, and interventional psychiatry with an emphasis on ketamine infusion therapy and Spravato (esketamine nasal spray) for treatment-resistant depression, anxiety, PTSD, and suicidal ideation. The Alvarado Road office sits within the Grantville medical-office corridor near the I-8 interchange, accessible from the 92120 ZIP and the broader east San Diego service area. Treatment rooms are equipped with Bose headphones, reclining chairs, and SoundSelf immersive audio technology designed to deepen the therapeutic effect of ketamine sessions. The veteran-founded clinic reflects a specific commitment to making ketamine therapy accessible to veterans and active-duty service members navigating the VA referral system. Patients completing their ketamine protocol who need ongoing psychiatric medication management transition to outpatient providers at clinics such as Perlman Clinic La Mesa in Grantville for continuing follow-up. Flexible financing options are available for patients whose insurance does not cover ketamine infusion.