Organization
FRED JEFFERSON MEMORIAL
Active
Other names
Sewell Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL SEWELL (CTO/PROGRAM DIRECTOR)
(310) 929-0738
Entity
Organization
Contact information
Practice address
152 W WALNUT ST, SUITE 150, GARDENA, CA 90248-3141
(310) 929-0738
Mailing address
152 W WALNUT ST, SUITE 150, GARDENA, CA 90248-3141
(310) 929-0738
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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