| NPI | 1871761015 |
|---|---|
| Doing Business As | SAMARITAN CENTER - WAIVER |
| Entity Type | Organization |
| Authorized Contact | JOHN MANNING Chief Operating Officer 812-885-2709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: IN 403-0-CMHC) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-08-05 |