| NPI | 1700943669 |
|---|---|
| Former Legal Business Name | PORT HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHARON WARD ROUNTREE Reimbursement Manager 252-830-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-04-03 |