AEGIS TREATMENT CENTERS LLC NPI 1134699986

NPI Information

AEGIS TREATMENT CENTERS, LLC is a methadone clinic center in Placerville, 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 1134699986. The provider is registered as an organization entity type.

The provider's business location address is:

6390 RUNNYMEADE DR STE B
PLACERVILLE, CA
ZIP 95667-623
Phone: (800) 821-0775
Fax: (818) 206-0379

The provider's authorized official is Thaiphong Thanh Vo .
The authorized official title is In-hosue Counsel and has the following contact phone number (818) 206-0360.

The CLIA number assigned to this NPI record is 05D2229687 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.

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:

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