| 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 |