NPI | 1710667977 |
---|---|
Doing Business As | AGELESS JOURNEY AFH |
Entity Type | Organization |
Authorized Contact | AENEAS OLIVER CEO 414-248-9587 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-08-18 |