Aegis Treatment Centers, LLC
Organization Active NPI Methadone Clinic · Marysville, CA
NPI 1346305083 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1346305083
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- AEGIS TREATMENT CENTERS, LLC
- Practice address
- 320 H St Ste 2
Marysville, CA 95901-5834 - Phone
- (530) 742-7747
- Fax
- (530) 742-7642
- NPI assigned
- Dec 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Denise Winant
- Title
- Credentialing Supervisor
- Phone
- (732) 570-0268
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Aegis Treatment Centers LLC
Locations
320 H St
Ste 2
Marysville, CA 95901
Phone (530) 742-7747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
320 H St Ste 2
Marysville, CA 95901-5834
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HDC70075F | Medicaid | CA |
Other providers in Marysville, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Aegis Treatment Centers, LLC
- Kimberly-Ann Agcopra
- Mark Steven Agness
- Duliamaria Aguilar
- Zainab Ajeena
All providers in Marysville, 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 Mar 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.