OrganizationActive
Aegis Treatment Centers, LLC
NPI 1679635361 · Methadone Clinic · Inglewood, CA
Provider details
- NPI number
- 1679635361
- 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
614 West Manchester Boulevard, Suite 104
Suite # 104
Inglewood, CA 90301-1656
Phone: (310) 412-0879
Fax: (310) 412-3365
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2023-09-17
- Certified
- 2023-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.