| Regional Mental Health Center | |
|
8555 Taft St Merrillville IN 46410-6123 | |
| (219) 769-4005 | |
| Not Available |
| Full Name | Regional Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8555 Taft St, Merrillville, Indiana |
| Authorized Official Name and Position | Shirley A Roll (ENROLLMENT) |
| Authorized Official Contact | 3174727396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Mental Health Center 8400 Louisiana St Merrillville IN 46410-6385 Ph: (219) 757-1928 | Regional Mental Health Center 8555 Taft St Merrillville IN 46410-6123 Ph: (219) 769-4005 |
| NPI Number | 1902043672 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902043672 | NPI | - | NPPES |
| 100157670B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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