Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Other names
Regional Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KRUMWEID (CEO)
(219) 757-1928
Entity
Organization
Contact information
Practice address
559 STATE ST, HAMMOND, IN 46320-1533
(219) 803-7252
(219) 937-3300
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
05/08/2014
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