Organization · Type 2 NPI

Southlake Community Mental Health Center, Inc

Federally Qualified Health Center (FQHC) · East Chicago, IN

NPI number 1376919217 Active

Practice location

3903 Indianapolis Blvd
East Chicago, IN 46312-2555

Fax (219) 392-6998

Mailing address

8400 Louisiana St
Merrillville, IN 46410-6385

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1376919217

Southlake Community Mental Health Center, Inc's National Provider Identifier is 1376919217, issued on Aug 14, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East Chicago, IN. The record was last updated on Jul 1, 2016.