Organization
MT PROCESS LLC
Active
Parent organization
MT PROCESS LLC
Other names
Divine Detox
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT PROCESS LLC
Authorized official
MRS. MCKAY WHITING (OWNER)
(805) 228-2826
Entity
Organization
Contact information
Practice address
1856 DEODORA ST, SIMI VALLEY, CA 93065-3925
(805) 228-2826
Mailing address
7133 DARBY AVE STE A, RESEDA, CA 91335-4428
(805) 228-2826
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
07/30/2019
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