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
3007 N MAIN ST, TARBORO, NC 27886-1922
(252) 823-6031
(252) 823-2616
Mailing address
2245 STANTONSBURG RD, SUITE P, GREENVILLE, NC 27834-2868
(252) 752-0483
(252) 752-2971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016X5
BSBC
NC
05
—
5905304
—
NC
05
—
6005933
—
NC
Enumeration date
01/11/2007
Last updated
08/22/2020
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