Organization · Type 2 NPI

Aegis Treatment Centers, LLC

Methadone Clinic · Manteca, CA

NPI number 1134565740 Active

Practice location

955 W. Center Street,, Suites 12A, 12B & 14
Manteca, CA 95337

Call (209) 239-9600 Map

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202

Other practice locations

955 W. Center Street, Suties 12A & 14, Manteca, CA 95337-7300 · (209) 463-0870
955 W Center St # 12A12B14, Manteca, CA 95337-7300 · (209) 239-9600
955 W Center St # 12A12B14, Manteca, CA 95337-7300 · (209) 239-9600

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	39-14 (CA)

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

NPI record

NPI: 1134565740
Entity type: Organization (Type 2)
Issued: May 22, 2013
Last updated: Feb 16, 2024
Status: Active

Other names

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Dba: Healthy Connections · doing business as
Dba: Healthy Connections · doing business as

Authorized official

Denise Winant
Credentialing Supervisor
(732) 570-0268

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134565740

Aegis Treatment Centers, LLC's National Provider Identifier is 1134565740, issued on May 22, 2013. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Manteca, CA. The record was last updated on Feb 16, 2024.