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Organization

SOCIAL CLUB HOUSE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL SAMET (VP)
(973) 376-2500
Entity
Organization

Contact information

Practice address
58 BROWN AVE, SPRINGFIELD, NJ 07081-2902
(973) 376-2500
(973) 376-5737
Mailing address
58 BROWN AVE, SPRINGFIELD, NJ 07081-2902
(973) 376-2500
(973) 376-5737

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6782906
NJ
Enumeration date
01/29/2007
Last updated
03/05/2026
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