NPI 1023551900
Fred Jefferson
Practice location
- Address
- 1448 E 142nd St, Compton, CA 90222-3702
- Phone
- (310) 763-1660
- Fax
- (310) 763-0357
Authorised official
- Name
- Darryl Sewell
- Title
- Chief Administrative Officer
- Phone
- (310) 929-0738
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1023551900
- Entity type
- Organization
- NPI issued
- 28 Nov 2016
- Record last updated
- 27 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.