Organization
DEL AIRE COMMUNITY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JEFFERSON (CEO)
(310) 612-3778
Entity
Organization
Contact information
Practice address
2043 W 115TH ST, HAWTHORNE, CA 90250-1900
(310) 612-3778
(310) 676-1170
Mailing address
2043 W 115TH ST, HAWTHORNE, CA 90250-1900
(310) 612-3778
(310) 676-1170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
10/18/2022
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