Social Clubhouse INC.
Community/Behavioral Health in Springfield, NJ. Organization (NPI-2).
NPI number1922465129
StatusActive
Last updated in NPPESJan 20, 2016
Details
- NPI
- 1922465129
- Entity type
- Organization (NPI-2)
- Legal business name
- Social Clubhouse INC.
- Organization subpart
- No
- Enumeration date
- Jan 20, 2016
- Last updated
- Jan 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2000617 | NJ | Yes |
Practice location
58 Brown AveSpringfield, NJ 07081-2902
Phone 973-376-2500 · Fax 973-376-5737
Mailing address
58 Brown AveSpringfield, NJ 07081-2902
Authorized official
Joseph Goldblatt
President
9733762500
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