Organization · Type 2 NPI
Resurgence California
Mental Illness Community Based Residential Treatment Facility · Costa Mesa, CA
NPI number
1467060731
Active
Practice location
3072 Madison Ave
Costa Mesa, CA 92626-2824
Fax (949) 209-5490
Mailing address
3151 Airway Ave Ste E1
Costa Mesa, CA 92626-4620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Costa Mesa
About NPI 1467060731
Resurgence California's National Provider Identifier is 1467060731, issued on Jul 22, 2020. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 9, 2022.