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.
Location: 2602 Courtier Dr, Greenville, NC, 27834-9079
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
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 |
Provider Business Practice Location Address Details
Address
2602 Courtier Dr
City
State
Zip
27834-7818
Phone Number
252-752-0483
Fax Number
252-757-3172
Provider Business Mailing Address Details
Address
2602 Courtier Dr
City
State
Zip
27834-7818
Phone Number
252-752-0483
Fax Number
252-757-3172
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
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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