| NPI | 1477198109 |
|---|---|
| Other Name | PURA VIDA BEHAVIORAL WELLNESS, PLLC |
| Entity Type | Organization |
| Authorized Contact | RITA T MCCALLAN Owner 214-674-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |