Port Health Services
NPI #1396897161 in Greenville, North Carolina
Provider Information
- NPI Number
- 1396897161
- Entity Type
- Organization
- Organization Name
- Port Health Services
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- Jan 18, 2007
- Last Updated
- May 24, 2023
Practice Location
- Address
- 114 HEALTH DRIVE
- City
- Greenville
- State
- North Carolina
- ZIP Code
- 27834-7826
- Phone
- (252) 413-1965
Authorized Official
- Name
- BRETT BEAVERS
- Title
- CREDENTIALING MANAGER
- Phone
- (919) 210-7661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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