AEGIS TREATMENT CENTERS LLC NPI 1851444376

NPI Information

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
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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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	39-12	CALIFORNIA	No
2	261QM2800X	Clinic/Center	Methadone			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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