Organization
MT GOLDEN CORPORATION
Active
Parent organization
MT GOLDEN CORPORATION
Other names
Adjustments Family Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT GOLDEN CORPORATION
Authorized official
MRS. MCKAY WHITING (OWNER)
(805) 228-2826
Entity
Organization
Contact information
Practice address
3010 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3939
(805) 228-2826
(818) 401-9387
Mailing address
7133 DARBY AVE STE A, RESEDA, CA 91335-4428
(805) 228-2826
(818) 401-9387
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
12/12/2018
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