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COMPLETE RESURGENCY LLC NPI 1588087647


NPI Information

NPI: 1588087647
Provider Name: COMPLETE RESURGENCY LLC

Doing Business As: SOUL SANCTUARY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
31957 VIRGINIA WAY
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 837-2751
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COMPLETE RESURGENCY LLC is a substance abuse rehabilitation facility in Laguna Beach, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. COMPLETE RESURGENCY LLC NPI is 1588087647. The provider is registered as an organization entity type.
The provider Is Doing Business As Soul Sanctuary.

The provider's business location address is:

31957 VIRGINIA WAY
LAGUNA BEACH, CA
ZIP 92651-822
Phone: (949) 837-2751

The provider's authorized official is Joshua Carl Hamburg .
The authorized official title is Ceo and has the following contact phone number (312) 315-3315.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 8/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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