institution
Southlake Community Mental Health Center Inc.
Federally Qualified Health Center (FQHC) in Hammond, Indiana
NPI 1023642576

Southlake Community Mental Health Center Inc. is a Federally Qualified Health Center (FQHC) based in Merrillville, IN and is specialized in Federally Qualified Health Center (FQHC). Southlake Community Mental Health Center Inc. practices in Hammond, IN. The NPI Number for Southlake Community Mental Health Center Inc. is 1023642576 and holds a License No. (Indiana).

The current practice location address for Southlake Community Mental Health Center Inc. is 2250 173Rd St Ste 111, Hammond, IN and can be reached out via phone at 219-769-4005.

Location: 2250 173Rd St Ste 111, Hammond, IN, 46410-6123
institution
Provider Profile Details
NPI Number
1023642576
Provider Name
Southlake Community Mental Health Center Inc.
Credential
Provider Entity Type
Organization
Address
2250 173Rd St Ste 111, Hammond, IN, 46410-6123
Phone Number
219-769-4005
Fax Number
Provider Enumeration Date
02/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2250 173Rd St Ste 111
City
State
Zip
46323-2074
Phone Number
219-769-4005
Fax Number
person
Provider Business Mailing Address Details
Address
2250 173Rd St Ste 111
City
State
Zip
46323-2074
Phone Number
219-769-4005
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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