OrganizationActive
Aegis Treatment Centers, LLC
NPI 1003566134 · Methadone Clinic · San Luis Obispo, CA
Provider details
- NPI number
- 1003566134
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Winant, Credentialing Supervisor(732) 570-0268
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1551 Bishop St Ste 520
San Luis Obispo, CA 93401-4665
Phone: (805) 461-5212
Fax: (805) 461-5873
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.