Organization · Type 2 NPI

Port Health Services

Substance Abuse Rehabilitation Facility · Ahoskie, NC

NPI number 1154473239 Active

Practice location

144 Community College Rd Ste C
Ahoskie, NC 27910-8047

Call (252) 332-5086 Map

Fax (252) 332-5243

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	MHL-046-015 (NC)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

NPI record

NPI: 1154473239
Entity type: Organization (Type 2)
Issued: Jan 17, 2007
Last updated: May 15, 2023
Status: Active

Other names

<unavail>
Port Human Services · former legal business name
Port Human Services · former legal business name

Authorized official

Brett Beavers
Credentialing Manager
(919) 210-7661

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154473239

Port Health Services's National Provider Identifier is 1154473239, issued on Jan 17, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ahoskie, NC. The record was last updated on May 15, 2023.