Aegis Treatment Center
Organization Active NPI Substance Abuse Rehabilitation Facility · Stockton, CA
NPI 1619477239 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1619477239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 6 (CA)
- Legal business name
- AEGIS TREATMENT CENTER
- Practice address
- 1839 S El Dorado St
Stockton, CA 95206-2025 - Phone
- (209) 463-0872
- Fax
- (209) 466-4446
- NPI assigned
- Feb 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Da Her, CCAPP
- Title
- Clinic Manager
- Phone
- (209) 463-0872
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 6 | CA | Yes |
Addresses
Primary practice location
1839 S El Dorado St
Stockton, CA 95206-2025
Mailing address
1839 S El Dorado St
Stockton, CA 95206-2025
Phone (209) 463-0872
Other names
- Healthy Connections, Inc
Other providers in Stockton, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Karla Mari Advincula
- Aegis Treatment Center, LLC.
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
- Aegis Treatment Centers, LLC
All providers in Stockton, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.