NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB NPI 1447078795

NPI Information

NPI: 1447078795
Provider Name: NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
CLIA Number: 49D2316275
Address: 2815 OLD LEE HWY FL 2
FAIRFAX, VA
ZIP 22031
Phone: (703) 705-7870

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NPI Details

NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB is a substance abuse rehabilitation facility in Fairfax, VA. The provider is 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. NOVARA RECOVERY CENTER VIRGINIA DRUG & ALCOHOL REHAB NPI is 1447078795. The provider is registered as an organization entity type.

The provider's business location address is:

2815 OLD LEE HWY FL 2
FAIRFAX, VA
ZIP 22031-303
Phone: (703) 705-7870
Fax: (862) 209-2213

The provider's authorized official is Rylan Grosh .
The authorized official title is Member and has the following contact phone number (703) 297-9909.

The CLIA number assigned to this NPI record is 49D2316275 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2024 and was last updated on 3/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	324500000X	Substance Abuse Rehabilitation Facility		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12453	OTHER	VIRGINIA	COMMONWEALTH OF VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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