Organization
NOVA VITAL NATCHITOCHES RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNY GAMBLE JR. (OWNER/MANAGING MEMBER)
(318) 458-6254
Entity
Organization
Contact information
Practice address
720 KEYSER AVE, NATCHITOCHES, LA 71457-6043
(318) 228-1959
Mailing address
8520 BUSINESS PARK DR, SHREVEPORT, LA 71105-5654
(318) 228-1959
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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