NPI 1912473752

Lincoln Nova Vital Recovery

Organisation Substance Abuse Rehabilitation Facility Ruston, LA

Practice location

Address: 4396 Hwy, 80 617 South Trention, Ruston, LA 71270
Phone: (318) 235-0503
Fax: (318) 251-4659
Mailing address: 203 Brian Drive, West Monroe, LA 71291

Authorised official

Name: Jewel M May
Title: Administrator
Phone: (318) 235-0503

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Louisiana →

Registry record

NPI: 1912473752
Entity type: Organization
NPI issued: 19 Oct 2018
Record last updated: 19 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.