Organization · Type 2 NPI
American Support Group
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gardena, CA
Practice location
15222 Eriel Ave
Gardena, CA 90249-4019
Fax (310) 856-4705
Mailing address
15222 Ariel Ave
Gardena, CA 90249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 190587AN (CA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Gardena
About NPI 1457529760
American Support Group's National Provider Identifier is 1457529760, issued on Feb 20, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gardena, CA. The record was last updated on Feb 20, 2008.