Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Active
Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Active
Other names
Regional Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KRUMWIED (PRESIDENT/CEO)
(219) 757-1970
Entity
Organization
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273350A
—
IN
Enumeration date
01/16/2009
Last updated
01/17/2013
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