Social Clubhouse, Inc.

LBN: Social Clubhouse, Inc.
Social Clubhouse, Inc. is an health care organization with primary practice located at 58 Brown Ave , Springfield NJ 07081-2902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Social Clubhouse, Inc. can be contacted via phone (973) 376-2500, or through Samet, Michael via phone (973) 376-2500.

Contact Information

Primary practice address
58 Brown Ave Springfield NJ 07081-2902
Phone: (973) 376-2500
Fax: (973) 376-5737
Website:
Map and Directions
Authorized official contact:
Name: Samet, Michael
Phone: (973) 376-2500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1720124860
LBN Legal business name Social Clubhouse, Inc.
DBA Doing business as
Authorized official Samet, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720124860 NPPES
New Jersey MEDICAID 6782906

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