Aegis Treatment Centers, LLC
Clinic/Center, Methadone Clinic in Wilmington, CA. Organization (NPI-2).
NPI number1457797201
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1457797201
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Treatment Centers, LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2013
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2800X | Clinic/Center, Methadone Clinic | – | CA | Yes |
Practice location
909 N Avalon BlvdWilmington, CA 90744-4503
Phone 310-513-1300
Mailing address
1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202
Phone 856-439-6111
Other practice locations
1322 N Avalon Blvd
Wilmington, CA 90744-2639
Wilmington, CA 90744-2639
Phone 310-513-1300
Authorized official
Denise Winant
Credentialing Supervisor
8564396111
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