Organization · NPI-2

Abode Services

Community/Behavioral Health · San Jose, CA

NPI number1316494750
StatusActive
Last updated in NPPESSep 5, 2017

Details

NPI
1316494750
Entity type
Organization (NPI-2)
Legal business name
Abode Services
Organization subpart
No
Enumeration date
Sep 1, 2016
Last updated
Sep 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

158 E Saint John St
San Jose, CA 95112-5581

Phone 408-675-6718

Mailing address

40849 Fremont Blvd
Fremont, CA 94538-4306

Authorized official

Louis Chicoine
Executive Director
5106577409

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