institution
Southlake Community Mental Health Center, Inc.
Federally Qualified Health Center (FQHC) in Hammond, Indiana
NPI 1508297540

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 1508297540 and holds a License No. (Indiana).

The current practice location address for Southlake Community Mental Health Center, Inc. is 527 State St, Hammond, IN and can be reached out via phone at 219-803-7252 and via fax at 219-937-3300. You can also correspond with Southlake Community Mental Health Center, Inc. through the mailing address at 8400 LOUISIANA ST, MERRILLVILLE, IN - 46410-6385 (mailing address contact number: 219-757-1928).

Location: 527 State St, Hammond, IN, 46410-6385
institution
Provider Profile Details
NPI Number
1508297540
Provider Name
Southlake Community Mental Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
527 State St, Hammond, IN, 46410-6385
Phone Number
219-803-7252
Fax Number
219-937-3300
Provider Enumeration Date
12/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2012166480A 05 IN
institution
Provider Business Practice Location Address Details
Address
527 State St
City
State
Zip
46320-1533
Phone Number
219-803-7252
Fax Number
219-937-3300
person
Provider Business Mailing Address Details
Address
527 State St
City
State
Zip
46320-1533
Phone Number
219-803-7252
Fax Number
219-937-3300
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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