Organization · Type 2 NPI
Fred Jefferson Memorial Home for Boys
Emotionally Disturbed Childrens' Residential Treatment Facility · Compton, CA
Practice location
1000 W 152nd St
Compton, CA 90220-2821
Fax (310) 763-0357
Mailing address
152 W Walnut St, Suite 150
Gardena, CA 90248-3141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None 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 1679016554
Fred Jefferson Memorial Home for Boys's National Provider Identifier is 1679016554, 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 Mar 3, 2020.