Organization
SAMARITAN BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA L MASTERS (BILLING)
(937) 734-4334
Entity
Organization
Contact information
Practice address
601 S EDWIN C MOSES BLVD, 4TH FLOOR, NW BUILDING, DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-8252
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-4334
(937) 734-8252
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
01-0503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433450
—
OH
Enumeration date
05/19/2006
Last updated
08/25/2021
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