NPI 1083363345
Aegis Treatment Centers, LLC
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
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.