Provider First Line Business Practice Location Address:
601 EDWIN C. MOSES BLVD. 1ST FLOOR
Provider Second Line Business Practice Location Address:
SAMARITAN BEHAVIORAL HEALTH, INC.
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45417-3424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-734-8333
Provider Business Practice Location Address Fax Number:
937-734-4343
Provider Enumeration Date:
05/21/2012