| NPI | 1477360196 |
|---|---|
| Doing Business As | THE AEGIS-IA LLC |
| Entity Type | Organization |
| Authorized Contact | DESIREE MAINA Executive Director 503-454-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |