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, NW BLDG. 1ST AND 4TH FLOORS, DAYTON, OH 45408-1424
(937) 276-8333
(937) 276-8269
Mailing address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-4334
(937) 734-8269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
503, 11127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2372061
—
OH
Enumeration date
03/27/2008
Last updated
08/25/2021
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