Organization
RESURGENCE CALIFORNIA, LLC
Active
Parent organization
RESURGENCE CALIFORNIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESURGENCE CALIFORNIA, LLC
Authorized official
CAMILLE L LINARES (COMPLIANCE)
(949) 245-5411
Entity
Organization
Contact information
Practice address
3151 AIRWAY AVE STE E2, COSTA MESA, CA 92626-4620
(888) 700-5053
Mailing address
3151 AIRWAY AVE STE E1, COSTA MESA, CA 92626-4620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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