Organization
SAMARITAN'S NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN BROWN CANNON (EXECUTIVE DIRECTOR)
(252) 799-0300
Entity
Organization
Contact information
Practice address
300 S PEARL ST, WILLIAMSTON, NC 27892-2330
(252) 217-1603
Mailing address
408 N MARTIN LUTHER KING JR DR, WILLIAMSTON, NC 27892-1931
(252) 792-7622
(252) 789-8305
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-058-013
NC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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