Organization · Type 2 NPI

Fred Jefferson

Emotionally Disturbed Childrens' Residential Treatment Facility · Compton, CA

NPI number 1023551900 Active

Practice location

1448 E 142nd St
Compton, CA 90222-3702

Fax (310) 763-0357

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1023551900

Fred Jefferson's National Provider Identifier is 1023551900, issued on Nov 28, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Compton, CA. The record was last updated on Jan 27, 2017.