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Organization

LAPORTE COUNTY COMPREHENSIVE MENTAL HEALTH COUNCIL

Active
Other names
Swanson Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SARA BACHANI MD (MEDICAL DIRECTOR)
(219) 879-4621
Entity
Organization

Contact information

Practice address
450 ST JOHNS ROAD, MICHIGAN CITY, IN 46360
(219) 879-4621
(219) 873-2388
Mailing address
450 ST JOHNS ROAD, SUITE 501, MICHIGAN CITY, IN 46360
(219) 879-4621
(219) 873-2388

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100163580A
IN
05
100163580B
IN
Enumeration date
08/10/2006
Last updated
07/03/2024
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