| Organization Name: | SAMARITAN BEHAVIORAL HEALTHCARE |
| NPI Number: | 1245497213 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONE KRISTEN SMALL (CEO AND PRESIDENT) |
| Mailing Address: | 969 W Mcclain Ave Suite B Scottsburg |
| State: | IN US |
| Postal Code: | 47170 |
| Phone Number: | 8127541660 |
| Fax Number: | 8127541664 |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 04/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 39000208A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |