OrganizationActive
Clubhouse of Saint Joseph County
NPI 1649723628 · Voluntary or Charitable Agency · South Bend, IN
Provider details
- NPI number
- 1649723628
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mark Buchanan, Executive Director(574) 360-8409
Specialties & taxonomies
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
1216 Wayne St N
South Bend, IN 46615-1036
Phone: (574) 360-8409
Fax: (574) 966-1443
Approximate (ZIP-level) locationGet directions
Mailing address
525 Ostemo Pl
South Bend, IN 46617-1023
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2016-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.