| Developmental Dynamo, Inc. | |
|
9723 Rathburn Ave Northridge CA 91325-1739 | |
| (818) 271-7128 | |
| Not Available |
| Full Name | Developmental Dynamo, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9723 Rathburn Ave, Northridge, California |
| Authorized Official Name and Position | Corey Fox (OWNER) |
| Authorized Official Contact | 818271712882717128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Dynamo, Inc. 9723 Rathburn Ave Northridge CA 91325-1739 Ph: (818) 271-7128 | Developmental Dynamo, Inc. 9723 Rathburn Ave Northridge CA 91325-1739 Ph: (818) 271-7128 |
| NPI Number | 1518315498 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518315498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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