Provider Demographics
NPI:1811403116
Name:Y & Y RECOVERY
Entity Type:Organization
Organization Name:Y & Y RECOVERY
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-928-2568
Mailing Address - Street 1:1123 N ALEXANDRIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1407
Mailing Address - Country:US
Mailing Address - Phone:323-928-2568
Mailing Address - Fax:
Practice Address - Street 1:1123 N ALEXANDRIA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1407
Practice Address - Country:US
Practice Address - Phone:818-602-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility