Organization
MELROSE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALT YBARRA (OWNER)
(702) 901-9079
Entity
Organization
Contact information
Practice address
501 N MARIPOSA AVE, LOS ANGELES, CA 90004-2805
(702) 901-9079
Mailing address
1247 N LAKEVIEW AVE STE B, ANAHEIM, CA 92807-1833
(702) 901-9079
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190907AP
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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