AEGIS TREATMENT CENTERS LLC NPI 1013353861

NPI Information

NPI: 1013353861
Provider Name: AEGIS TREATMENT CENTERS, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 05D0686990

Address:
125 W F ST
SUITE 101
ONTARIO, CA
ZIP 91762
Phone: (909) 986-4550
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AEGIS TREATMENT CENTERS, LLC is a methadone clinic center in Ontario, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. AEGIS TREATMENT CENTERS, LLC NPI is 1013353861. The provider is registered as an organization entity type.

The provider's business location address is:

125 W F ST
SUITE 101
ONTARIO, CA
ZIP 91762-201
Phone: (909) 986-4550

The provider's authorized official is Alexander Charles Dodd .
The authorized official title is Executive Director and has the following contact phone number (415) 205-9005.

The CLIA number assigned to this NPI record is 05D0686990 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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