American Support Group
American Support Group is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gardena, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
15222 Eriel AveGardena, CA 90249-4019
Phone: (310) 644-1288
Fax: (310) 856-4705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 190587AN (CA) |
|---|
Record details
| NPI number | 1457529760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adeline Madaubuchi — Chief Executive Officer · (310) 644-1288 |
| NPI enumerated | February 20, 2008 |
| Last updated in NPPES | February 20, 2008 |
| Mailing address | 15222 Ariel Ave, Gardena, CA 90249 |
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