NPI | 1902010887 |
---|---|
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 (Licence: CA zzz74743z) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2023-04-18 |