| Daas Age Wise | |
|
686 E Mill St San Bernardino CA 92408-1610 | |
| (909) 798-8455 | |
| (909) 798-8582 |
| Full Name | Daas Age Wise |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 686 E Mill St, San Bernardino, California |
| Authorized Official Name and Position | Mark Edward Thomas (MENTAL HEALTH CLINIC SUPERVISOR) |
| Authorized Official Contact | 9516623730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daas Age Wise 686 E Mill St San Bernardino CA 92415-0647 Ph: (909) 798-8573 | Daas Age Wise 686 E Mill St San Bernardino CA 92408-1610 Ph: (909) 798-8455 |
| NPI Number | 1598328072 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598328072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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