Organization
EPIDAURUS
Active
Other names
Amity Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA MELLIZO (CHIEF DEVELOPMENT OFFICER)
(970) 889-2351
Entity
Organization
Contact information
Practice address
3316 S MAIN ST, LOS ANGELES, CA 90007-4126
(323) 387-9146
Mailing address
PO BOX 3043, TUCSON, AZ 85702-3043
(520) 910-0401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/29/2023
Last updated
07/09/2025
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