SIERRA RECOVERY CENTER NPI 1093954653

NPI Information

  • NPI: 1093954653
  • Provider Name: SIERRA RECOVERY CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 1137 EMERALD BAY RD
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 541-5190

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NPI Details

SIERRA RECOVERY CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in South Lake Tahoe, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SIERRA RECOVERY CENTER NPI is 1093954653. The provider is registered as an organization entity type.

The provider's business location address is:

1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA
ZIP 96150-207
Phone: (530) 541-5190

The provider's authorized official is Dana Smiley .
The authorized official title is Counselor Intern and has the following contact phone number (530) 545-9394.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 2/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

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This page was last updated on: 11/21/2025

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