OrganizationActive
Aegis Treatment Center
NPI 1619477239 · Substance Abuse Rehabilitation Facility · Stockton, CA
Provider details
- NPI number
- 1619477239
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Da Her, Clinic Manager(209) 463-0872
- License
- 6 (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1839 S El Dorado St
Stockton, CA 95206-2025
Phone: (209) 463-0872
Fax: (209) 466-4446
Street-level locationGet directions
Mailing address
1839 S El Dorado St
Stockton, CA 95206-2025
Other names (DBA / former)
- Doing business as
- Healthy Connections, Inc
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.