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Pura Vida Recovery Services, Llc
Substance Abuse Rehabilitation Facility in Santa Rosa, California
NPI 1194439430

Pura Vida Recovery Services, Llc is a Substance Abuse Rehabilitation Facility based in Santa Rosa, CA. Pura Vida Recovery Services, Llc practices in Santa Rosa, CA. The NPI Number for Pura Vida Recovery Services, Llc is 1194439430 and holds a License No. (California).

The current practice location address for Pura Vida Recovery Services, Llc is 5761 Mountain Hawk Dr Ste 201, Santa Rosa, CA and can be reached out via phone at 707-879-8432 and via fax at 844-426-0134.

Location: 5761 Mountain Hawk Dr Ste 201, Santa Rosa, CA, 95401-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194439430
Provider Name
Pura Vida Recovery Services, Llc
Credential
Provider Entity Type
Organization
Address
5761 Mountain Hawk Dr Ste 201, Santa Rosa, CA, 95401-4120
Phone Number
707-879-8432
Fax Number
844-426-0134
Provider Enumeration Date
01/11/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490041BP 01 CA CA DHCS
institution
Provider Business Practice Location Address Details
Address
5761 Mountain Hawk Dr Ste 201
City
Santa Rosa
State
California
Zip
95409-4454
Phone Number
707-879-8432
Fax Number
844-426-0134
person
Provider Business Mailing Address Details
Address
5761 Mountain Hawk Dr Ste 201
City
Santa Rosa
State
California
Zip
95409-4454
Phone Number
707-879-8432
Fax Number
844-426-0134
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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Definition
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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