OrganizationActive
Aegis Treatment Centers, LLC
NPI 1548819550 · Methadone Clinic · Ridgecrest, CA
Provider details
- NPI number
- 1548819550
- 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
1111 W Inyokern Rd Ste A&b
Ridgecrest, CA 93555-2370
Phone: (800) 821-0775
Fax: (818) 206-0379
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.