Organization · Type 2 NPI

Lincoln Nova Vital Recovery Center,llc

Substance Abuse Rehabilitation Facility · Ruston, LA

NPI number 1043780851 Active

Practice location

4396 Highway 80
Ruston, LA 71270-8948

Fax (318) 251-4659

Mailing address

8520 Business Park Dr
Shreveport, LA 71105-5654

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Substance Use Disorder Rehabilitation Hospital Unit 276400000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1043780851

Lincoln Nova Vital Recovery Center,llc's National Provider Identifier is 1043780851, issued on Dec 5, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ruston, LA. The record was last updated on Mar 19, 2025.