| New Hope Clubhouse | |
|
304 S Lincoln St Kendallville IN 46755-1675 | |
| (260) 347-2454 | |
| (260) 349-1829 |
| Full Name | New Hope Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 304 S Lincoln St, Kendallville, Indiana |
| Authorized Official Name and Position | Mark Pfefferkorn (CFO) |
| Authorized Official Contact | 2603472453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Clubhouse Po Box 817 Kendallville IN 46755-0817 Ph: (260) 347-2453 | New Hope Clubhouse 304 S Lincoln St Kendallville IN 46755-1675 Ph: (260) 347-2454 |
| NPI Number | 1851744734 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851744734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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