OrganizationActive
Port Health Services
NPI 1396897161 · Children's Substance Abuse Rehabilitation Facility · Greenville, NC
Provider details
- NPI number
- 1396897161
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brett Beavers, Credentialing Manager(919) 210-7661
Specialties & taxonomies
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Practice location
114 Health Drive
Greenville, NC 27834-7826
Phone: (252) 413-1965
Fax: (252) 413-0500
Approximate (ZIP-level) locationGet directions
Mailing address
4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079
Other names (DBA / former)
- Former legal business name
- Port Human Services
- Former legal business name
- Port Human Services
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2023-05-24
- Certified
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.