Organization Name: | PORT HUMAN SERVICES |
NPI Number: | 1154473239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS O SAVIAGE (CEO) |
Mailing Address: | 144 Community College Rd Ahoskie |
State: | NC US |
Postal Code: | 279108047 |
Phone Number: | 2523325086 |
Fax Number: | 2523325243 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | MHL-046-015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |