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Organization

DEVELOPMENTAL DYNAMO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY FOX (OWNER)
818271712882717128
Entity
Organization

Contact information

Practice address
9723 RATHBURN AVE, NORTHRIDGE, CA 91325-1739
(818) 271-7128
Mailing address
9723 RATHBURN AVE, NORTHRIDGE, CA 91325-1739
(818) 271-7128

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/01/2016
Last updated
06/01/2016
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