Aegis Treatment Center
Substance Abuse Rehabilitation Facility in Stockton, CA. Organization (NPI-2).
NPI number1619477239
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1619477239
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Treatment Center
- Organization subpart
- No
- Enumeration date
- Feb 20, 2018
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 6 | CA | Yes |
Other names
- Healthy Connections, INC (Doing Business As)
Practice location
1839 S El Dorado StStockton, CA 95206-2025
Phone 209-463-0872 · Fax 209-466-4446
Mailing address
1839 S El Dorado StStockton, CA 95206-2025
Phone 209-463-0872 · Fax 209-466-4446
Authorized official
Da Her
Clinic Manager
2094630872
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