| NPI | 1568039915 |
|---|---|
| Doing Business As | NORTHSHORE LAPORTE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID HALL CEO 219-763-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |