Aegis Treatment Centers, LLC
Organization Active NPI Methadone Clinic · Sonora, CA
NPI 1083363345 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1083363345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- AEGIS TREATMENT CENTERS, LLC
- Practice address
- 691 Pauline CT
Sonora, CA 95370-5216 - Phone
- (209) 527-4597
- Fax
- (209) 527-4599
- NPI assigned
- Mar 22, 2022
- Organization subpart
- No
Authorized official
- Name
- Denise Winant
- Title
- Credentialing Supervisor
- Phone
- (732) 570-0268
Corporate family (same tax ID) 20
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2268243 | Aegis Treatment Centers, LLC | Certificate of waiver | Sep 7, 2026 |
National Provider Directory
- Tax ID family
- Aegis Treatment Centers LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
691 Pauline CT
Sonora, CA 95370-5216
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-6111
Other providers in Sonora, CA
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- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Affinity Health and Wellness
- Masoud Ahmadzai
- Airell L Nygaard MD Inc
- Aimee Lorain Aitken
- Keren Akakpo
All providers in Sonora, CA · Methadone Clinic in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.