Aegis Treatment Centers, LLC

Organization Active NPI Methadone Clinic · Santa Paula, CA

NPI 1376989129 · NPPES record last updated Mar 13, 2023

Key facts

NPI
1376989129
Entity type
Organization (NPI type 2)
Primary specialty
Methadone Clinic 261QM2800X
Legal business name
AEGIS TREATMENT CENTERS, LLC
Practice address
625 E Main St
Santa Paula, CA 93060-2608
Phone
(805) 525-4669
NPI assigned
May 21, 2013
Organization subpart
No

Authorized official

Name
Denise Winant
Title
Credentialing Supervisor
Phone
(732) 570-0268

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aegis Treatment Centers LLC (78 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X CA Yes

Addresses

Primary practice location

625 E Main St
Santa Paula, CA 93060-2608

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531

Other identifiers

IdentifierTypeStateIssuer
HDC70088FMedicaidCA

Other providers in Santa Paula, CA

All providers in Santa Paula, CA · Methadone Clinic in California

Sources for this page

Verify at the official NPI Registry.