| NPI | 1962913327 |
|---|---|
| Former Legal Business Name | PORT HUMAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | TOYETTE ANTHONY Benefits And Credentialing Spec 252-830-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |