Organization · Type 2 NPI
Southlake Community Mental Health Center
Comprehensive Outpatient Rehabilitation Facility (CORF) · Merrillville, IN
NPI number
1386107746
Active
Practice location
8555 Taft St
Merrillville, IN 46410-6123
Fax (219) 757-1950
Mailing address
8400 Louisiana St
Merrillville, IN 46410-6385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | None listed |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
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About NPI 1386107746
Southlake Community Mental Health Center's National Provider Identifier is 1386107746, issued on Apr 11, 2019. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Merrillville, IN. The record was last updated on Apr 11, 2019.