Provider Demographics
NPI:1255808457
Name:SAMARITAN HOUSE INC.
Entity type:Organization
Organization Name:SAMARITAN HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HURD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-269-5605
Mailing Address - Street 1:2610 GREENBRIAR LN BLDG 1
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4424
Mailing Address - Country:US
Mailing Address - Phone:410-269-5605
Mailing Address - Fax:
Practice Address - Street 1:2610 GREENBRIAR LN BLDG 1
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4424
Practice Address - Country:US
Practice Address - Phone:410-269-5605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMARITAN HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-26
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1629296645OtherNPI