OrganizationActive
Aegis Treatment Centers, LLC
NPI 1710030325 · Methadone Clinic · Stockton, CA
Provider details
- NPI number
- 1710030325
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Winant, Credentialing Supervisor(732) 570-0268
- License
- 39-11 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1947 N California St
Suite B and C
Stockton, CA 95204-6029
Phone: (209) 463-0870
Fax: (209) 463-0560
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
- 2007-01-18
- 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.