NPI 1104450337

Sana Lake Recovery Center, LLC

Organisation Substance Abuse Rehabilitation Facility Kansas City, MO

Practice location

Address: 6300 N Luceme Ave, Kansas City, MO 64151-3199
Phone: (816) 407-9596
Mailing address: 6300 N Lucerne Ave, Kansas City, MO 64151-3199

Authorised official

Name: Stacy L. Glenn
Title: Chief Clinical Officer
Phone: (314) 392-3822

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

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Registry record

NPI: 1104450337
Entity type: Organization
NPI issued: 26 Feb 2020
Record last updated: 5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.