| NPI | 1821776386 |
|---|---|
| Doing Business As | EASTERSEALS PORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRETT BEAVERS Credentialing Manager 919-210-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-08-20 |