AMERICAN SUPPORT GROUP
Residential Treatment Facilities at Eriel Ave, Gardena, CA

License number
California 190587AN
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. ADELINE EKWEBELEM MADAUBUCHI
Title: CHIEF EXECUTIVE OFFICER
Phone: (310) 644-1288
Address
Address
15222 Eriel Ave, Gardena, CA 90249
National Provider ID: 1457529760
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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