Organization · Type 2 NPI

Aegis Treatment Centers, LLC

Methadone Clinic · Lodi, CA

NPI number 1649669979 Active

Practice location

541 S Ham Ln Ste A&b
Lodi, CA 95242-3530

Call (209) 224-8940 Map

Fax (209) 224-5076

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	39-13 (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.

16 other providers at this address

NPI record

NPI: 1649669979
Entity type: Organization (Type 2)
Issued: Jan 9, 2015
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 1649669979

Aegis Treatment Centers, LLC's National Provider Identifier is 1649669979, issued on Jan 9, 2015. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Lodi, CA. The record was last updated on Feb 16, 2024.