| NPI | 1679967475 |
|---|---|
| Doing Business As | DOGTOWN COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | RHONDA JESSUM Founder And Director 818-880-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA PSY15775) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: HI PSY-1519) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |