Healthcare Provider Details

I. General information

NPI: 1255808457
Provider Name (Legal Business Name): SAMARITAN HOUSE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2018
Last Update Date: 03/04/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 GREENBRIAR LN BLDG 1
ANNAPOLIS MD
21401-4424
US

IV. Provider business mailing address

2610 GREENBRIAR LN BLDG 1
ANNAPOLIS MD
21401-4424
US

V. Phone/Fax

Practice location:
  • Phone: 410-269-5605
  • Fax:
Mailing address:
  • Phone: 410-269-5605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA BETH HURD
Title or Position: OFFICE MANAGER
Credential:
Phone: 410-269-5605