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
320 H ST STE 2, MARYSVILLE, CA 95901-5834
(530) 742-7747
(530) 742-7642
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0381
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HDC70075F
—
CA
Enumeration date
12/22/2006
Last updated
03/08/2023
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