Organization · Type 2 NPI

Southlake Community Mental Health Center, Inc.

Federally Qualified Health Center (FQHC) · Merrillville, IN

NPI number 1477007292 Active

Practice location

8555 Taft St
Merrillville, IN 46410-6123

Call (219) 937-3300 Map

Fax (219) 757-1950

Mailing address

8400 Louisiana St
Merrillville, IN 46410-6385

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed

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

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About NPI 1477007292

Southlake Community Mental Health Center, Inc.'s National Provider Identifier is 1477007292, issued on Aug 10, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Merrillville, IN. The record was last updated on Aug 15, 2023.