| Resurgence California, Llc | |
|
11851 Wisteria Ave Fountain Valley CA 92708-2654 | |
| (888) 700-5053 | |
| Not Available |
| Full Name | Resurgence California, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11851 Wisteria Ave, Fountain Valley, California |
| Authorized Official Name and Position | Camille Linares (VP OF COMPLIANCE) |
| Authorized Official Contact | 9499332974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurgence California, Llc 3151 Airway Ave Ste E1 Costa Mesa CA 92626-4620 Ph: (888) 700-5053 | Resurgence California, Llc 11851 Wisteria Ave Fountain Valley CA 92708-2654 Ph: (888) 700-5053 |
| NPI Number | 1316655269 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316655269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cys Western Youth Services-west Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18350 Mount Langley St Ste 206, 215, 220, 200, Fountain Valley, CA 92708 Phone: 714-378-2620 Fax: 714-378-2631 | |
Moving Forward Psychological Institute, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 205, Fountain Valley, CA 92708 Phone: 949-431-6374 | |
The New Beginning Fellowship Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16581 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-839-2515 Fax: 714-839-5501 | |
Lds Family Services Ca Fountain Valley Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17350 Mount Herrmann St, Suite A, Fountain Valley, CA 92708 Phone: 714-444-3463 Fax: 714-444-1768 | |
Milestones Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10174 Durango River Ct, Fountain Valley, CA 92708 Phone: 323-868-8793 | |
Td & Sjc Wellness Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 208, Fountain Valley, CA 92708 Phone: 253-686-2854 | |
William M. Young, M.d. A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11770 Warner Ave, Suite 226, Fountain Valley, CA 92708 Phone: 241-241-8560 Fax: 714-241-8576 |