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Fred Jefferson
Emotionally Disturbed Childrens' Residential Treatment Facility in Compton, California
NPI 1023551900

Fred Jefferson is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Compton, CA. Fred Jefferson practices in Compton, CA. The NPI Number for Fred Jefferson is 1023551900 and holds a License No. (California).

The current practice location address for Fred Jefferson is 1448 E 142Nd St, Compton, CA and can be reached out via phone at 310-763-1660 and via fax at 310-763-0357.

Location: 1448 E 142Nd St, Compton, CA, 90222-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023551900
Provider Name
Fred Jefferson
Credential
Provider Entity Type
Organization
Address
1448 E 142Nd St, Compton, CA, 90222-3702
Phone Number
310-763-1660
Fax Number
310-763-0357
Provider Enumeration Date
11/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1448 E 142Nd St
City
Compton
State
California
Zip
90222-3702
Phone Number
310-763-1660
Fax Number
310-763-0357
person
Provider Business Mailing Address Details
Address
1448 E 142Nd St
City
Compton
State
California
Zip
90222-3702
Phone Number
310-763-1660
Fax Number
310-763-0357
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
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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