NPI 1477147478

Sana Lake Recovery Center, LLC

Organisation Substance Abuse Rehabilitation Facility Overland Park, KS

Practice location

Address: 10881 Lowell Ave, Overland Park, KS 66210-1653
Phone: (314) 392-3822
Mailing address: 8350 State Route 30, Dittmer, MO 63023

Authorised official

Name: Stacy 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: 1477147478
Entity type: Organization
NPI issued: 22 Feb 2021
Record last updated: 22 Feb 2021

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.