Organization
ABODE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS CHICOINE (EXECUTIVE DIRECTOR)
(510) 657-7409
Entity
Organization
Contact information
Practice address
158 E SAINT JOHN ST, SAN JOSE, CA 95112-5581
(408) 675-6718
Mailing address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/05/2017
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