Healthcare Provider Details

I. General information

NPI: 1235633173
Provider Name (Legal Business Name): PATHWAYS RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 SUNRISE AVE STE 210
ROSEVILLE CA
95661-4527
US

IV. Provider business mailing address

PO BOX 847
FOLSOM CA
95763-0847
US

V. Phone/Fax

Practice location:
  • Phone: 916-235-9259
  • Fax:
Mailing address:
  • Phone: 916-235-9259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number310023BP
License Number StateCA

VIII. Authorized Official

Name: DANITA LYNN SANDS
Title or Position: PRESIDENT
Credential:
Phone: 916-532-4044