Organization
ABODE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ELMER HARELSON MSW, PHD (PROGRAM MANAGER OF ABODE SERVICES)
(510) 706-7519
Entity
Organization
Contact information
Practice address
40849 FREMONT BLVD, FREMONT, CA 94538-4306
(510) 657-7409
(510) 657-7293
Mailing address
40849 FREMONT BOULEVARD, FREMONT, CA 94538
(510) 657-7409
(510) 657-7293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
070824
CA
Other
Enumeration date
10/05/2013
Last updated
10/05/2013
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