| Samaritan House Inc | |
|
2620 Southern Blvd Virginia Beach VA 23452-7414 | |
| (757) 631-0710 | |
| Not Available |
| Full Name | Samaritan House Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 2620 Southern Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Kara Flake (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7576922767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan House Inc 2620 Southern Blvd Virginia Beach VA 23452-7414 Ph: (757) 631-0710 | Samaritan House Inc 2620 Southern Blvd Virginia Beach VA 23452-7414 Ph: (757) 631-0710 |
| NPI Number | 1033991666 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033991666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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