OrganizationActive
Aegis Treatment Centers, LLC
NPI 1134565740 · Methadone Clinic · Manteca, CA
Provider details
- NPI number
- 1134565740
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Authorized official
- Denise Winant, Credentialing Supervisor
- License
- 39-14 (CA)
Practice location
955 W. Center Street,
Suites 12a, 12b & 14
Manteca, CA 95337
Phone: (209) 239-9600
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2024-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.