SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. is a federally qualified health center (fqhc) clinic center in Hammond, IN. SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. NPI is 1023642576. The provider is registered as an organization entity type.
The provider Is Doing Business As Pnw Clinic.
The provider's business location address is:
2250 173RD ST STE 111
HAMMOND, IN
ZIP 46323-074
Phone: (219) 769-4005
The provider's authorized official is Judith Sikora .
The authorized official title is Cfo and has the following contact phone number (219) 757-1921.
The enumeration date for this NPI number is 2/24/2020 and was last updated on 2/26/2020.