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Organization
PORT HUMAN SERVICES
Active
Organization
PORT HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS OLIVER SAVIDGE (CEO)
(252) 830-7540
Entity
Organization
Contact information
Practice address
1409 PARKVIEW DR, ELIZABETH CITY, NC 27909-6533
(252) 331-6546
Mailing address
4300-110 SAPPHIRE COURT, GREENVILLE, NC 27834-9019
(252) 830-7540
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-070-053
NC
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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