Organization
MELROSE RECOVERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALT YBARRA (CEO)
(714) 970-0036
Entity
Organization
Contact information
Practice address
1253 N COMMONWEALTH AVE, LOS ANGELES, CA 90029
(714) 970-0036
(714) 970-1965
Mailing address
1247 N LAKEVIEW AVE, STE#B, ANAHEIM, CA 92807
(714) 970-0036
(714) 970-1965
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
06/26/2019
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