Clubhouse of Saint Joseph County

NPI #1649723628 in South Bend, Indiana

Provider Information

NPI Number
1649723628
Entity Type
Organization
Organization Name
Clubhouse of Saint Joseph County
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jul 26, 2016
Last Updated
Jul 26, 2016

Practice Location

Address
1216 WAYNE ST N
State
Indiana
ZIP Code
46615-1036
Phone
(574) 360-8409

Authorized Official

Name
MARK DALE BUCHANAN
Title
EXECUTIVE DIRECTOR
Phone
(574) 360-8409

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Voluntary or Charitable

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