NPIMap

Organization Active NPI

Sana Lake Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Dittmer, MO
National Provider Identifier
1902462278
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SANA LAKE RECOVERY CENTER, LLC
Practice address
8350 State Route 30
Dittmer, MO 63023
Phone
(314) 392-3822
NPI assigned
May 13, 2019
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ashley Murry, LCSW
Title
Chief Clinical Officer
Phone
(314) 806-1026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

8350 State Route 30
Dittmer, MO 63023

Mailing address

8350 State Route 30
Dittmer, MO 63023
Phone (314) 392-3822

National Provider Directory

National Provider Directory
Tax ID family
Sana Lake Recovery Center LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8350 State Route 30
Dittmer, MO 63023
Phone (314) 392-3822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1902462278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 STATE ROUTE 30",
            "city": "DITTMER",
            "state": "MO",
            "postal_code": "63023",
            "telephone_number": "314-392-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 STATE ROUTE 30",
            "city": "DITTMER",
            "state": "MO",
            "postal_code": "63023",
            "telephone_number": "314-392-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA LAKE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MURRY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "314-806-1026",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dittmer, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.