Organization
SAMARITANS NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN BROWN CANNON BSW (CEO)
(252) 799-0300
Entity
Organization
Contact information
Practice address
408 N MARTIN LUTHER KING JR DR, 202 SOUTH HARRELL STREET, WILLIAMSTON, NC 27892-1931
(252) 799-0300
(252) 799-0314
Mailing address
408 N MARTIN LUTHER KING JR DR, WILLIAMSTON, NC 27892-1931
(252) 799-0300
(252) 799-0314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-058-013
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-058-032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804585
—
NC
05
—
8301348
—
NC
Enumeration date
12/17/2008
Last updated
12/17/2008
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