Fred Jefferson
NPI #1023551900 in Compton, California
Provider Information
- NPI Number
- 1023551900
- Entity Type
- Organization
- Organization Name
- Fred Jefferson
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 28, 2016
- Last Updated
- Jan 27, 2017
Practice Location
- Address
- 1448 E 142ND ST
- City
- Compton
- State
- California
- ZIP Code
- 90222-3702
- Phone
- (310) 763-1660
Authorized Official
- Name
- DARRYL SEWELL
- Title
- CHIEF ADMINISTRATIVE OFFICER
- Phone
- (310) 929-0738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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