Organization · Type 2 NPI

Southlake Community Mental Health Center, Inc

Federally Qualified Health Center (FQHC) · Hammond, IN

NPI number 1609231927 Active

Practice location

4022 Hohman Ave
Hammond, IN 46327

Call (219) 937-3300 Map

Fax (219) 803-7252

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 1609231927

Southlake Community Mental Health Center, Inc's National Provider Identifier is 1609231927, issued on Dec 31, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hammond, IN. The record was last updated on Jul 1, 2016.