Provider Demographics
NPI:1225366495
Name:D.P.P.S. , INC.
Entity Type:Organization
Organization Name:D.P.P.S. , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-243-7789
Mailing Address - Street 1:2405 NASH ST NW
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1634
Mailing Address - Country:US
Mailing Address - Phone:252-243-7789
Mailing Address - Fax:252-243-4789
Practice Address - Street 1:2405 NASH ST NW
Practice Address - Street 2:SUITE C
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1634
Practice Address - Country:US
Practice Address - Phone:252-243-7789
Practice Address - Fax:252-243-4789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-098-129251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health