Organization · Type 2 NPI

Port Health Services

Children's Substance Abuse Rehabilitation Facility · Greenville, NC

NPI number 1396897161 Active

Practice location

114 Health Drive
Greenville, NC 27834-7826

Fax (252) 413-0500

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401XNone listed
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XMHL-074-111 (NC)

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1396897161

Port Health Services's National Provider Identifier is 1396897161, issued on Jan 18, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Greenville, NC. The record was last updated on May 24, 2023.