Organization
COMPLETE RESURGENCY LLC
Active
Other names
Soul Sanctuary
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CARL HAMBURG (CEO)
(312) 315-3315
Entity
Organization
Contact information
Practice address
31957 VIRGINIA WAY, LAGUNA BEACH, CA 92651-6822
(949) 837-2751
Mailing address
31957 VIRGINIA WAY, LAGUNA BEACH, CA 92651-6822
(312) 315-3315
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
01/27/2014
Last updated
08/29/2019
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