Organization
ABODE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE ROSS LMFT (SHELTER SERVICES MANAGER)
(510) 252-0910
Entity
Organization
Contact information
Practice address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
(510) 657-7409
Mailing address
588 BROWN RD, FREMONT, CA 94539-7011
(510) 252-0910
(510) 252-0428
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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