| NPI | 1598328072 |
|---|---|
| Doing Business As | DAAS AGE WISE |
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD THOMAS Mental Health Clinic Supervisor 951-662-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-05-09 |