# SAMARITAN FAMILY HEALTH AND COUNSELING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861721136
- **Authorized official:** MRS. MARIE BLUNT M.MIN. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (574) 277-0274

## Contact information

- **Practice address:** 17195 CLEVELAND RD, SOUTH BEND, IN 46635-1415
- **Practice address phone:** (574) 277-0274
- **Practice address fax:** (574) 271-7202
- **Mailing address:** 17195 CLEVELAND RD, SOUTH BEND, IN 46635-1415
- **Mailing address phone:** (574) 277-0274
- **Mailing address fax:** (574) 271-7202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 12/16/2009