Fred Jefferson Memorial Home for Boys
NPI #1598216707 in Compton, California
Provider Information
- NPI Number
- 1598216707
- Entity Type
- Organization
- Organization Name
- Fred Jefferson Memorial Home for Boys
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 24, 2016
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 1448 E 142ND ST
- City
- Compton
- State
- California
- ZIP Code
- 90222-3702
- Phone
- (310) 604-0595
Authorized Official
- Name
- NIQUELLE LEWIS
- Title
- CTO/PROGRAM DIRECTOR
- Phone
- (310) 763-1660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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