| NPI | 1962954024 |
|---|---|
| Doing Business As | FRED JEFFERSON M AFTERCARE |
| Entity Type | Organization |
| Authorized Contact | DARRYL SEWELL Cto/Program Director 310-929-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |