| Aegis Treatment Centers, Llc | |
|
6500 Morro Rd Ste D Atascadero CA 93422-4142 | |
| (805) 461-5212 | |
| Not Available |
| Full Name | Aegis Treatment Centers, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6500 Morro Rd Ste D, Atascadero, California |
| Authorized Official Name and Position | Alexander Charles Dodd (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4152059005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Treatment Centers, Llc 6500 Morro Rd Ste D Atascadero CA 93422-4142 Ph: (805) 461-5212 | Aegis Treatment Centers, Llc 6500 Morro Rd Ste D Atascadero CA 93422-4142 Ph: (805) 461-5212 |
| NPI Number | 1760828594 |
|---|---|
| Provider Enumeration Date | 05/20/2013 |
| Last Update Date | 05/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760828594 | NPI | - | NPPES |
| 4003 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 40-01 (California) | Primary |
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