Healthcare Provider Details

I. General information

NPI: 1356778138
Provider Name (Legal Business Name): RIGHT PATH TREATMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2013
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N LYNNHAVEN RD SUITE 100
VIRGINIA BEACH VA
23452-7523
US

IV. Provider business mailing address

101 N LYNNHAVEN RD SUITE 100
VIRGINIA BEACH VA
23452-7523
US

V. Phone/Fax

Practice location:
  • Phone: 757-321-0795
  • Fax: 757-963-0444
Mailing address:
  • Phone: 757-321-0795
  • Fax: 757-963-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number0101230485
License Number StateVA

VIII. Authorized Official

Name: DR. SERGEY ZHITAR
Title or Position: PRESIDENT
Credential: MD
Phone: 757-321-0795