Southlake Community Mental Health Center Inc.
NPI #1821081290 in Merrillville, Indiana
Provider Information
- NPI Number
- 1821081290
- Entity Type
- Organization
- Organization Name
- Southlake Community Mental Health Center Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 31, 2005
- Last Updated
- Jun 18, 2009
Practice Location
- Address
- 8555 TAFT ST
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-6123
- Phone
- (219) 769-4005
Authorized Official
- Name
- MR. ROBERT KRUMWIED
- Title
- PRESIDENT/CEO
- Phone
- (219) 757-1970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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