Organization · Type 2 NPI

Lincoln Nova Vital Recovery

Substance Abuse Rehabilitation Facility · Ruston, LA

NPI number 1912473752 Active

Practice location

4396 Hwy, 80, 617 South Trention
Ruston, LA 71270

Fax (318) 251-4659

Mailing address

203 Brian Drive
West Monroe, LA 71291

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone 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 1912473752

Lincoln Nova Vital Recovery's National Provider Identifier is 1912473752, issued on Oct 19, 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 Oct 19, 2018.