Whalio Doctors

NPI 1134699986

Aegis Treatment Centers, LLC

Organisation Methadone Clinic Placerville, CA

Practice location

Address
6390 Runnymeade Dr STE B, Placerville, CA 95667-8623
Phone
(800) 821-0775
Fax
(818) 206-0379
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
1134699986
Entity type
Organization
NPI issued
4 Dec 2018
Record last updated
17 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.