Organization
SILVER SANDS RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WAKNIN (CEO)
(888) 845-9484
Entity
Organization
Contact information
Practice address
3636 CROSSINGS DR STE C, PRESCOTT, AZ 86305-7190
(928) 231-2449
Mailing address
3636 CROSSINGS DR STE C, PRESCOTT, AZ 86305-7190
(928) 231-2449
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
01/30/2023
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