Provider Demographics
NPI:1790191294
Name:GOOD SAMARITAN SERVICES
Entity Type:Organization
Organization Name:GOOD SAMARITAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORABITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-346-8185
Mailing Address - Street 1:245 INGER DR
Mailing Address - Street 2:103 B
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8669
Mailing Address - Country:US
Mailing Address - Phone:805-346-8185
Mailing Address - Fax:
Practice Address - Street 1:245 INGER DR
Practice Address - Street 2:103 B
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8669
Practice Address - Country:US
Practice Address - Phone:805-346-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-03
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No252Y00000XAgenciesEarly Intervention Provider Agency