Fred Jefferson Memorial Home for Boys
NPI #1679016554 in Compton, California
Provider Information
- NPI Number
- 1679016554
- Entity Type
- Organization
- Organization Name
- Fred Jefferson Memorial Home for Boys
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 28, 2016
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 1000 W 152ND ST
- City
- Compton
- State
- California
- ZIP Code
- 90220-2821
- Phone
- (310) 763-1660
Authorized Official
- Name
- NIQUELLE DEONDREA LEWIS, MA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 763-1660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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