OrganizationActive
Aegis Treatment Centers, LLC
NPI 1851444376 · Methadone Clinic · Stockton, CA
Provider details
- NPI number
- 1851444376
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Winant, Credentialing Supervisor(732) 570-0268
- License
- 39-12 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1839 S. El Dorado Street
Stockton, CA 95206-2025
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, Dba:5th Street Medical Clinic
- Doing business as
- Dba: Healthy Connections, Dba:5th Street Medical Clinic
Registry dates
- Enumerated
- 2007-01-19
- 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.