Organization
M2 RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN WALLACE (CEO)
(818) 651-4594
Entity
Organization
Contact information
Practice address
6715 MELROSE AVE., LOS ANGELES, CA 90038
(818) 651-4594
Mailing address
6715 MELROSE AVE., LOS ANGELES, CA 90038
(818) 651-4594
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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