| NPI | 1073093522 |
|---|---|
| Doing Business As | DIVINE DETOX |
| Entity Type | Organization |
| Authorized Contact | MCKAY WHITING Owner 805-228-2826 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-07-30 |