| NPI | 1326257759 |
|---|---|
| Doing Business As | AGEWISE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DAY Information Technology Manager 909-388-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CA ZZZ74743Z) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |