Healthcare Provider Details

I. General information

NPI: 1437090743
Provider Name (Legal Business Name): AVENUES RECOVERY CENTER AT NORFOLK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 GRANBY ST
NORFOLK VA
23505-4447
US

IV. Provider business mailing address

1600 AVENUE OF THE STATES STE 503
LAKEWOOD NJ
08701-5183
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-2635
  • Fax:
Mailing address:
  • Phone: 732-967-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HUDI ALTER
Title or Position: CEO
Credential:
Phone: 732-967-2635