OrganizationActive
Aegis Treatment Centers, LLC
NPI 1649669979 · Methadone Clinic · Lodi, CA
Provider details
- NPI number
- 1649669979
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Winant, Credentialing Supervisor(732) 570-0268
- License
- 39-13 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
541 S Ham Ln Ste A&b
Lodi, CA 95242-3530
Phone: (209) 224-8940
Fax: (209) 224-5076
Approximate (ZIP-level) locationGet directions
Mailing address
1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Other names (DBA / former)
- Doing business as
- Dba: Healthy Connections
- Doing business as
- Dba: Healthy Connections
Registry dates
- Enumerated
- 2015-01-09
- Last updated
- 2024-02-16
- Certified
- 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.