Organization
ELKHART COUNTY CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICH H MEYER (EXECUTIVE DIRECTOR)
(574) 202-3920
Entity
Organization
Contact information
Practice address
114 S 5TH ST, GOSHEN, IN 46528-3712
(574) 971-5210
(574) 971-5211
Mailing address
114 S 5TH ST, GOSHEN, IN 46528-3712
(574) 971-5210
(574) 971-5211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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