Provider Demographics
NPI:1225007735
Name:SAMARITAN COLONY INC.
Entity Type:Organization
Organization Name:SAMARITAN COLONY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:W
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:910-895-3243
Mailing Address - Street 1:136 SAMARITAN DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7908
Mailing Address - Country:US
Mailing Address - Phone:910-895-3243
Mailing Address - Fax:910-895-8612
Practice Address - Street 1:136 SAMARITAN DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7908
Practice Address - Country:US
Practice Address - Phone:910-895-3243
Practice Address - Fax:910-895-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC324500000X324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility