Organization Name: | PORT HUMAN SERVICES |
NPI Number: | 1003140583 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS O. SAVIDGE (CEO) |
Mailing Address: | 114 Avon Avenue Washington |
State: | NC US |
Postal Code: | 278893841 |
Phone Number: | 2529481413 |
Fax Number: | 2529461086 |
NPI Enumeration Date: | 09/30/2009 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |