Organization
ABODE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMAN WONG (QUALITY ASSURANCE COORDINATOR)
(510) 270-1150
Entity
Organization
Contact information
Practice address
1144 S 2ND ST STE 110, SAN JOSE, CA 95112-5974
(510) 657-7409
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
04/23/2018
Last updated
12/11/2019
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