Organization · Type 2 NPI
Aegis Treatment Centers, LLC
Methadone Clinic · San Luis Obispo, CA
NPI number
1003566134
Active
Practice location
1551 Bishop St Ste 520
San Luis Obispo, CA 93401-4665
Fax (805) 461-5873
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
5 other providers at this address
- Arthur Corwin McLean, MDAllergy & Immunology Physician San Luis Obispo, CA NPI 1639106727
- Jennifer Owen, ATC, PA-CPhysician Assistant San Luis Obispo, CA NPI 1982756052
- Katelyn Renee MayberryAddiction (Substance Use Disorder) Counselor San Luis Obispo, CA NPI 1184579864
- Paige Danielle Fulmer, LPTLicensed Psychiatric Technician San Luis Obispo, CA NPI 1821980095
- Robert Gerald Casden, MDSpecialist San Luis Obispo, CA NPI 1982615670
About NPI 1003566134
Aegis Treatment Centers, LLC's National Provider Identifier is 1003566134, issued on Mar 23, 2022. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 20, 2023.