NPI: 1396897161
Provider Name: PORT HEALTH SERVICES
Former Legal Business Name: PORT HUMAN SERVICES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
114 HEALTH DRIVE
GREENVILLE, NC
ZIP 27834
Phone: (252) 413-1965
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PORT HEALTH SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in Greenville, NC. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PORT HEALTH SERVICES NPI is 1396897161. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Port Human Services.
The provider's business location address is:
114 HEALTH DRIVE
GREENVILLE, NC
ZIP 27834-826
Phone: (252) 413-1965
Fax: (252) 413-0500
The provider's authorized official is Brett Beavers .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 210-7661.
The enumeration date for this NPI number is 1/18/2007 and was last updated on 5/24/2023.