NPI | 1194439430 |
---|---|
Doing Business As | PURA VIDA RECOVERY SERVICES |
Entity Type | Organization |
Authorized Contact | BEN A PAHLAVAN CAO 707-879-8432 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-01-11 |
Last Update Date | 2023-03-08 |