OrganizationActive
Aegis Treatment Centers, LLC
NPI 1871007534 · Methadone Clinic · Grass Valley, CA
Provider details
- NPI number
- 1871007534
- 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
109 Margaret Ln
Grass Valley, CA 95945-5211
Phone: (530) 863-8798
Fax: (530) 477-7035
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2017-11-16
- 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.