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Organization

RESURGENCE CALIFORNIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMILLE LINARES (VP OF COMPLIANCE)
(888) 700-5053
Entity
Organization

Contact information

Practice address
1132 W BALBOA BLVD, NEWPORT BEACH, CA 92661-1091
(702) 305-9167
Mailing address
3151 AIRWAY AVE STE E1, COSTA MESA, CA 92626-4620
(828) 773-4477

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/25/2022
Last updated
11/09/2022
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