NPI 1003435033

Resurgence California, LLC

Organisation Substance Abuse Rehabilitation Facility Fullerton, CA

Practice location

Address: 158 Marion Blvd, Fullerton, CA 92835-3525
Phone: (949) 899-6003
Mailing address: 3151 Airway Ave STE E1, Costa Mesa, CA 92626-4620

Authorised official

Name: Tanisha Porreca
Title: Coo
Phone: (888) 700-5053

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1003435033
Entity type: Organization
NPI issued: 9 Apr 2020
Record last updated: 9 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.