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GHR CENTER FOR OPIOID ADDICTION TREATMENT AND RECOVERY LLC NPI 1265970263


NPI Information

NPI: 1265970263
Provider Name: GHR CENTER FOR OPIOID ADDICTION TREATMENT AND RECOVERY LLC

Other Name: THE GHR CENTER FOR ADDICTION TREATMENT AND RECOVERY

Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 49D2130741

Address:
850 TIDEWATER DR STE A
NORFOLK, VA
ZIP 23504
Phone: (757) 333-6992
Get Directions

GHR CENTER FOR OPIOID ADDICTION TREATMENT AND RECOVERY LLC is an addiction medicine internal medicine in Norfolk, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. GHR CENTER FOR OPIOID ADDICTION TREATMENT AND RECOVERY LLC NPI is 1265970263. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is The Ghr Center For Addiction Treatment And Recovery.

The provider's business location address is:

850 TIDEWATER DR STE A
NORFOLK, VA
ZIP 23504-300
Phone: (757) 333-6992

The provider's authorized official is Shani Kirvin .
The authorized official title is Operations Manager and has the following contact phone number (757) 333-6992.

The CLIA number assigned to this NPI record is 49D2130741 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineVIRGINIANo
22084A0401XPsychiatry & NeurologyAddiction MedicineVIRGINIANo
3207RA0401XInternal MedicineAddiction MedicineVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11811905250OTHERVIRGINIANPI FOR LAWRENCE ROSS PHD
20101222715OTHERVIRGINIAMEDICAL LICENSE
31881870442OTHERVIRGINIAGENE GERMANO MD INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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