Organization
CORE MELROSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH ALOMIA (COO)
(718) 931-9700
Entity
Organization
Contact information
Practice address
8302 MELROSE AVE, LOS ANGELES, CA 90069-5404
(323) 351-1790
Mailing address
8302 MELROSE AVE, LOS ANGELES, CA 90069-5404
(323) 351-1790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
12/31/2019
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