Organization
RESURGENCE CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE LINARES (VP OF COMPLIANCE)
(888) 700-5053
Entity
Organization
Contact information
Practice address
3072 MADISON AVE, COSTA MESA, CA 92626-2824
(619) 248-7806
(949) 209-5490
Mailing address
3151 AIRWAY AVE STE E1, COSTA MESA, CA 92626-4620
(888) 700-5053
(949) 209-5490
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
11/09/2022
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