Organization
AEGIS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE JAVIER GAITAN LCSW-S (FOUNDER & CEO)
(512) 831-7008
Entity
Organization
Contact information
Practice address
2222 WESTERN TRAILS BLVD STE 107, AUSTIN, TX 78745-1601
(512) 831-7008
Mailing address
2222 WESTERN TRAILS BLVD STE 107, AUSTIN, TX 78745-1601
(512) 831-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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