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Organization
PORT HUMAN SERVICES
Active
Organization
PORT HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O SAVIDGE (CEO)
(252) 752-0483
Entity
Organization
Contact information
Practice address
2269 STANTONSBURG RD, GREENVILLE, NC 27834-7826
(252) 752-0130
(252) 752-4949
Mailing address
2245 STANTONSBURG RD, SUITE P, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 752-0483
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300232
—
NC
Enumeration date
01/18/2007
Last updated
08/22/2020
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