institution
Southlake Community Mental Health Center, Inc
Federally Qualified Health Center (FQHC) in Hammond, Indiana
NPI 1609231927

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 1609231927 and holds a License No. (Indiana).

The current practice location address for Southlake Community Mental Health Center, Inc is 4022 Hohman Ave, Hammond, IN and can be reached out via phone at 219-937-3300 and via fax at 219-803-7252.

Location: 4022 Hohman Ave, Hammond, IN, 46410-6385
institution
Provider Profile Details
NPI Number
1609231927
Provider Name
Southlake Community Mental Health Center, Inc
Credential
Provider Entity Type
Organization
Address
4022 Hohman Ave, Hammond, IN, 46410-6385
Phone Number
219-937-3300
Fax Number
219-803-7252
Provider Enumeration Date
12/31/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
15D2108285 01 IN CLIA
201323280 05 IN
institution
Provider Business Practice Location Address Details
Address
4022 Hohman Ave
City
State
Zip
46327
Phone Number
219-937-3300
Fax Number
219-803-7252
person
Provider Business Mailing Address Details
Address
4022 Hohman Ave
City
State
Zip
46327
Phone Number
219-937-3300
Fax Number
219-803-7252
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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