Organization
AEGIS TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA TANNER MS (SENIOR RECRUITER OF CLINICAL SERVIC)
(818) 206-0360
Entity
Organization
Contact information
Practice address
1343 W MAIN ST, SUITE A, MERCED, CA 95340-4438
(818) 206-0360
(818) 206-0381
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94844589A
CENTRAL CALIFORNIA ALLIANCE FOR HEALTH
CA
Enumeration date
07/16/2015
Last updated
07/16/2015
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