NPI 1679016554

Fred Jefferson Memorial Home for Boys

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Compton, CA

Practice location

Address: 1000 W 152nd St, Compton, CA 90220-2821
Phone: (310) 763-1660
Fax: (310) 763-0357
Mailing address: 152 W Walnut St Suite 150, Gardena, CA 90248-3141

Authorised official

Name: Niquelle Deondrea Lewis
Title: Executive Director
Phone: (310) 763-1660

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in California →

Registry record

NPI: 1679016554
Entity type: Organization
NPI issued: 28 Nov 2016
Record last updated: 3 Mar 2020

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.