Organization · Type 2 NPI
Clubhouse of Saint Joseph County
Voluntary or Charitable Agency · South Bend, IN
NPI number
1649723628
Active
Practice location
1216 Wayne St N
South Bend, IN 46615-1036
Fax (574) 966-1443
Mailing address
525 Ostemo Pl
South Bend, IN 46617-1023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
Other voluntary or charitable agency providers in South Bend
About NPI 1649723628
Clubhouse of Saint Joseph County's National Provider Identifier is 1649723628, issued on Jul 26, 2016. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 26, 2016.