Organization
SAMARITAN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON KRISTEN SMALL PH.D. (CEO AND PRESIDENT)
(812) 754-1660
Entity
Organization
Contact information
Practice address
969 W. MCCLAIN AVE, SUITE B, SCOTTSBURG, IN 47170
(812) 754-1660
(812) 754-1664
Mailing address
P.O. BOX 462, SUITE B, SCOTTSBURG, IN 47170
(812) 754-1660
(812) 754-1664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01042107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200073210A
—
IN
Enumeration date
01/09/2008
Last updated
04/08/2011
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