Abode Services
Community/Behavioral Health in San Jose, CA. Organization (NPI-2).
NPI number1073185518
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1073185518
- Entity type
- Organization (NPI-2)
- Legal business name
- Abode Services
- Organization subpart
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1185 Pedro StSan Jose, CA 95126-3757
Phone 510-270-1150
Mailing address
40849 Fremont BlvdFremont, CA 94538-4306
Authorized official
Sherman Wong
Quality Assurance Coordinator
5102701150
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