OrganizationActive
Southlake Community Mental Health Center Inc.
NPI 1972092047 · Substance Use Disorder Rehabilitation Clinic/Center · East Chicago, IN
Provider details
- NPI number
- 1972092047
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shirley Roll, Enrollment(317) 472-7396
- License
- 424-014 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3903 Indianapolis Blvd
East Chicago, IN 46312
Phone: (219) 398-7050
Fax: (219) 392-3998
Approximate (ZIP-level) locationGet directions
Mailing address
8400 Louisiana St
Merrillville, IN 46410-6385
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2018-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.