PURA VIDA RECOVERY SERVICES, LLC
NPI 1346025343
Substance Abuse Rehabilitation Facility in Santa Rosa, CA
- Organization
- Substance Abuse Rehabilitation Facility
About PURA VIDA RECOVERY SERVICES, LLC
This page provides the complete NPI Profile along with additional information for Pura Vida Recovery Services, Llc, a provider established in Santa Rosa, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1346025343 assigned on August 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ben A Pahlavan (Chief Administrative Officer)
- NPI
- 1346025343 Verify this NPI
- Provider Name
- PURA VIDA RECOVERY SERVICES, LLC
- Entity Type
- Organization
- Location Address
- 1506 RONNE DR SANTA ROSA, CA 95404
- Location Phone
- (707) 879-8432
- Location Fax
- (844) 426-0134
- Mailing Address
- 130 STONY POINT RD STE J SANTA ROSA, CA 95401
- Mailing Phone
- (707) 879-8432
- Mailing Fax
- (844) 426-0134
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2023
- Last Update Date
- 08-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346025343, enumerated as an "organization" on August 28, 2023.
The provider is located at 1506 RONNE DR SANTA ROSA, CA 95404 and the phone number is (707) 879-8432.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
