Organization
AEGIS TREATMENT CENTERS, LLC
Active
Other names
dba: Healthy Connections, dba:5th Street Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WINANT (CREDENTIALING SUPERVISOR)
(732) 570-0268
Entity
Organization
Contact information
Practice address
1839 S. EL DORADO STREET, STOCKTON, CA 95206-2025
(209) 463-0870
(209) 463-0560
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
39-12
CA
Other
Enumeration date
01/19/2007
Last updated
02/16/2024
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