Whalio Doctors

NPI 1083363345

Aegis Treatment Centers, LLC

Organisation Methadone Clinic Sonora, CA

Practice location

Address
691 Pauline CT, Sonora, CA 95370-5216
Phone
(209) 527-4597
Fax
(209) 527-4599
Mailing address
1317 Route 73 STE 200, Mount Laurel, NJ 08054-2202

Authorised official

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

Registered specialties

Methadone Clinic Primary
Ambulatory Health Care Facilities Taxonomy 261QM2800X

Registry record

NPI
1083363345
Entity type
Organization
NPI issued
22 Mar 2022
Record last updated
20 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.