| NPI | 1184445140 |
|---|---|
| Doing Business As | PURA VIDA RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | BEN A PAHLAVAN CAO 707-879-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-29 |