Organization · NPI-2

Aegis Treatment Centers

Counselor, Addiction (Substance Use Disorder) · Santa Maria, CA

NPI number1487067922
StatusActive
Last updated in NPPESJun 3, 2014

Details

NPI
1487067922
Entity type
Organization (NPI-2)
Legal business name
Aegis Treatment Centers
Organization subpart
No
Enumeration date
Jun 3, 2014
Last updated
Jun 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2534 Logan Dr
Santa Maria, CA 93455-7443

Phone 805-714-4163

Mailing address

2534 Logan Dr
Santa Maria, CA 93455-7443

Authorized official

Amanda Melena
Caseload Manager
8057144163

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Addiction (Substance Use Disorder) providers in Santa Maria, CA