| NPI | 1609912492 |
|---|---|
| Other Name | HEALTHY LIFESTYLES COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DWAYNE MITCHELL CEO 219-392-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2013-03-29 |