NPI:
1851444376
Provider Name:
AEGIS TREATMENT CENTERS, LLC
Doing Business As: DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC
Classification:
Clinic/Center - 261QM2800X
Entity Type:
Organization
Specialization: Methadone
Address:
1839 S. EL DORADO STREET
STOCKTON, CA
ZIP 95206
Phone:
(209) 463-0870
Get Directions
AEGIS TREATMENT CENTERS, LLC is a methadone clinic center in Stockton, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. AEGIS TREATMENT CENTERS, LLC NPI is 1851444376. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba: Healthy Connections, Dba:5th Street Medical Clinic.
The provider's business location address is:
1839 S. EL DORADO STREET
STOCKTON, CA
ZIP 95206-025
Phone: (209) 463-0870
Fax: (209) 463-0560
The provider's authorized official is Denise Winant .
The authorized official title is Credentialing Supervisor and has the following contact phone number (732) 570-0268.
The enumeration date for this NPI number is 1/19/2007 and was last updated on 2/16/2024.