Organization
AEGIS TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WINANT (CREDENTIALING SUPERVISOR)
(856) 439-6111
Entity
Organization
Contact information
Practice address
909 N AVALON BLVD, WILMINGTON, CA 90744-4503
(310) 513-1300
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HDC70093F
—
CA
Enumeration date
05/21/2013
Last updated
08/24/2023
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