| NPI | 1346025343 |
|---|---|
| Doing Business As | PURA VIDA RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | BEN A PAHLAVAN Chief Administrative Officer 707-879-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |