person
Angelo D Melgoza, PLADC
Substance Abuse Rehabilitation Facility in Omaha, Nebraska
NPI 1386941185

Angelo D Melgoza is a Substance Abuse Rehabilitation Facility based in Omaha, NE. Angelo D Melgoza practices in Omaha, NE and has the professional credentials of PLADC. The NPI Number for Angelo D Melgoza is 1386941185 and holds a License No. P-575 (Nebraska).

The current practice location address for Angelo D Melgoza is 3483 Larimore Ave, Omaha, NE and can be reached out via phone at 402-455-8303 and via fax at 402-455-7050. You can also correspond with Angelo D Melgoza through the mailing address at 3483 LARIMORE AVE, OMAHA, NE - 68111-2383 (mailing address contact number: 402-455-8303).

Location: 3483 Larimore Ave, Omaha, NE, 68111-2383
person
Provider Profile Details
NPI Number
1386941185
Provider Name
Angelo D Melgoza
Credential
PLADC
Provider Entity Type
Individual
Gender
Male
Address
3483 Larimore Ave, Omaha, NE, 68111-2383
Phone Number
402-455-8303
Fax Number
402-455-7050
Provider Enumeration Date
02/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3483 Larimore Ave
City
State
Zip
68111-2383
Phone Number
402-455-8303
Fax Number
402-455-7050
person
Provider Business Mailing Address Details
Address
3483 Larimore Ave
City
State
Zip
68111-2383
Phone Number
402-455-8303
Fax Number
402-455-7050
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
P-575 (Nebraska)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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