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Port Health Services
Children's Substance Abuse Rehabilitation Facility in Greenville, North Carolina
NPI 1477538254

Port Health Services is a Children's Substance Abuse Rehabilitation Facility based in Greenville, NC and is specialized in Substance Abuse Treatment, Children. Port Health Services practices in Greenville, NC. The NPI Number for Port Health Services is 1477538254 and holds a License No. MHL-074-157 (North Carolina).

The current practice location address for Port Health Services is 2602 Courtier Dr, Greenville, NC and can be reached out via phone at 252-752-0483 and via fax at 252-757-3172. You can also correspond with Port Health Services through the mailing address at 4300 SAPPHIRE CT STE 110, GREENVILLE, NC - 27834-9079 (mailing address contact number: 252-830-7540).

Location: 2602 Courtier Dr, Greenville, NC, 27834-9079
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477538254
Provider Name
Port Health Services
Credential
Provider Entity Type
Organization
Address
2602 Courtier Dr, Greenville, NC, 27834-9079
Phone Number
252-752-0483
Fax Number
252-757-3172
Provider Enumeration Date
12/14/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6005329 05 NC
6005332 05 NC
6005334 05 NC
6005597 05 NC
6603789 05 NC
016X5 01 NC BCBS PROVIDER NUMBER
6005592 05 NC
5900726 05 NC
5900727 05 NC
6603790 05 NC
institution
Provider Business Practice Location Address Details
Address
2602 Courtier Dr
City
Greenville
State
North Carolina
Zip
27834-7818
Phone Number
252-752-0483
Fax Number
252-757-3172
person
Provider Business Mailing Address Details
Address
4300 Sapphire Ct Ste 110
City
Greenville
State
North Carolina
Zip
27834-9079
Phone Number
252-830-7540
Fax Number
252-413-0932
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MHL-074-145 (North Carolina)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
MHL-074-157 (North Carolina)
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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