| Samaritan Behavioral Health, Inc. | |
|
601 S Edwin C Moses Blvd 4th Floor, Nw Building Dayton OH 45417-3424 | |
| (937) 734-8333 | |
| (937) 734-8252 |
| Full Name | Samaritan Behavioral Health, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 S Edwin C Moses Blvd, Dayton, Ohio |
| Authorized Official Name and Position | Tabatha L Masters (BILLING) |
| Authorized Official Contact | 9377344334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Behavioral Health, Inc. 601 S Edwin C Moses Blvd Dayton OH 45417-3424 Ph: (937) 734-4334 | Samaritan Behavioral Health, Inc. 601 S Edwin C Moses Blvd 4th Floor, Nw Building Dayton OH 45417-3424 Ph: (937) 734-8333 |
| NPI Number | 1629022330 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629022330 | NPI | - | NPPES |
| 2433450 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 01-0503 (Ohio) | Primary |
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