Individual provider · Type 1 NPI

Angelo D. Melgoza, PLADC

Substance Abuse Rehabilitation Facility · Omaha, NE

NPI number 1386941185 Active

Practice location

3483 Larimore Ave
Omaha, NE 68111-2383

Fax (402) 455-7050

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XP-575 (NE)

Substance Abuse Rehabilitation Facility: 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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About NPI 1386941185

Angelo D. Melgoza, PLADC's National Provider Identifier is 1386941185, issued on Feb 15, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Omaha, NE. The record was last updated on Feb 15, 2011.