Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Active
Organization
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY A ROLL (ENROLLMENT)
(317) 472-7396
Entity
Organization
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312
(219) 398-7050
(219) 392-3998
Mailing address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1924
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
424-014
IN
Other
Enumeration date
05/04/2018
Last updated
06/12/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up