Organization
AEGIS TREATMENT CENTERS, LLC
Active
Other names
dba: Healthy Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WINANT (CREDENTIALING SUPERVISOR)
(732) 570-0268
Entity
Organization
Contact information
Practice address
955 W. CENTER STREET,, SUITES 12A, 12B & 14, MANTECA, CA 95337
(209) 239-9600
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
39-14
CA
Other
Enumeration date
05/22/2013
Last updated
02/16/2024
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