NPI

Aegis Treatment Centers, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2007-01-19
Last updated
2024-02-16

Specialties

Licenses

License CA
39-12

Location

Practice location
1839 S. El Dorado Street
City
Stockton CA
Postal code
95206-2025
Phone
(209) 463-0870

Organization contact

Name
DENISE WINANT
Title
Credentialing Supervisor
Phone
7325700268

Medicare

PECOS
No PECOS enrollment row matched this NPI.

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