| NPI | 1699234153 |
|---|---|
| Doing Business As | SAMARITAN BEHAVIORAL CENTER - PROFESSIONAL BILLING |
| Entity Type | Organization |
| Authorized Contact | RYAN GUNABALAN CEO 586-261-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-05-29 |