Organization · Type 2 NPI

Aegis Treatment Centers, LLC

Methadone Clinic · Stockton, CA

NPI number 1851444376 Active

Practice location

1839 S. El Dorado Street
Stockton, CA 95206-2025

Call (209) 463-0870 Map

Fax (209) 463-0560

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	39-12 (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.

Other methadone clinic providers in Stockton

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NPI record

NPI: 1851444376
Entity type: Organization (Type 2)
Issued: Jan 19, 2007
Last updated: Feb 16, 2024
Status: Active

Other names

<unavail>
Dba: Healthy Connections, Dba:5th Street Medical Clinic · doing business as
Dba: Healthy Connections, Dba:5th Street Medical Clinic · 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 1851444376

Aegis Treatment Centers, LLC's National Provider Identifier is 1851444376, issued on Jan 19, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Stockton, CA. The record was last updated on Feb 16, 2024.