Organization · Type 2 NPI
Aegis Treatment Centers, LLC
Methadone Clinic · Tracy, CA
NPI number
1083224141
Active
Practice location
1450 Bessie Ave Ste B
Tracy, CA 95376-3456
Fax (818) 206-0379
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
- Carl MiralLicensed Psychiatric Technician Tracy, CA NPI 1255186698
- Christy Thuy Pham, LPTLicensed Psychiatric Technician Tracy, CA NPI 1730773722
- Joycelyn Antonio, 164X00000XLicensed Vocational Nurse Tracy, CA NPI 1881370203
- Netasha SarmentoLicensed Vocational Nurse Tracy, CA NPI 1205701596
- Sandra Marie Nayares, LVNLicensed Vocational Nurse Tracy, CA NPI 1902499932
About NPI 1083224141
Aegis Treatment Centers, LLC's National Provider Identifier is 1083224141, issued on Aug 4, 2020. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Tracy, CA. The record was last updated on Sep 17, 2023.