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Organization
PORT HEALTH SERVICES
Active
Organization
PORT HEALTH SERVICES
Active
Other names
PORT Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
TOYETTE ANTHONY (BENEFITS AND CREDENTIALING SPEC)
(252) 830-7561
Entity
Organization
Contact information
Practice address
224 MEMORIAL DR STE B, JACKSONVILLE, NC 28546-6332
(252) 830-7540
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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