Organization
GHR CENTER FOR OPIOID ADDICTION TREATMENT AND RECOVERY LLC
Active
Other names
The GHR Center for Addiction Treatment and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI KIRVIN (OPERATIONS MANAGER)
(757) 333-6992
Entity
Organization
Contact information
Practice address
850 TIDEWATER DR STE A, NORFOLK, VA 23504-3300
(757) 333-6992
Mailing address
850 TIDEWATER DR STE A, NORFOLK, VA 23504-3300
(757) 209-2776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
VA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101222715
MEDICAL LICENSE
VA
01
—
1811905250
NPI FOR LAWRENCE ROSS PHD
VA
01
—
1881870442
GENE GERMANO MD INDIVIDUAL NPI
VA
Enumeration date
02/09/2017
Last updated
02/22/2023
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