Organization
AEGIS TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WINANT (CREDENTIALING SUPERVISOR)
(732) 570-0268
Entity
Organization
Contact information
Practice address
2650 JONES WAY, SUITE #10, SIMI VALLEY, CA 93065-1203
(805) 522-1844
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HDC70089F
—
CA
Enumeration date
05/21/2013
Last updated
03/08/2023
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