MELROSE RECOVERY LLC NPI 1922452150

NPI Information

MELROSE RECOVERY, LLC is a substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MELROSE RECOVERY, LLC NPI is 1922452150. The provider is registered as an organization entity type.

The provider's business location address is:

501 N MARIPOSA AVE
LOS ANGELES, CA
ZIP 90004-805
Phone: (702) 901-9079

The provider's authorized official is Walt Ybarra .
The authorized official title is Owner and has the following contact phone number (702) 901-9079.

The CLIA number assigned to this NPI record is 05D2148329 - other - detox facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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