SILVER SANDS RECOVERY LLC NPI 1194278457

NPI Information

  • NPI: 1194278457
  • Provider Name: SILVER SANDS RECOVERY, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 03D2113884
  • Address: 3636 CROSSINGS DR STE C
    PRESCOTT, AZ
    ZIP 86305
  • Phone: (928) 231-2449

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NPI Details

SILVER SANDS RECOVERY, LLC is a substance abuse rehabilitation facility in Prescott, AZ. The provider is 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. SILVER SANDS RECOVERY, LLC NPI is 1194278457. The provider is registered as an organization entity type.

The provider's business location address is:

3636 CROSSINGS DR STE C
PRESCOTT, AZ
ZIP 86305-190
Phone: (928) 231-2449

The provider's authorized official is Lisa Waknin .
The authorized official title is Ceo and has the following contact phone number (888) 845-9484.

The CLIA number assigned to this NPI record is 03D2113884 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2016 and was last updated on 1/30/2023.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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

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