SANA LAKE RECOVERY CENTER LLC NPI 1902430135

NPI Information

SANA LAKE RECOVERY CENTER, LLC is a substance abuse rehabilitation facility in Kansas City, MO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SANA LAKE RECOVERY CENTER, LLC NPI is 1902430135. The provider is registered as an organization entity type.

The provider's business location address is:

800 E 101ST TER STE 350
KANSAS CITY, MO
ZIP 64131-310
Phone: (816) 222-4347
Fax: (816) 407-9597

The provider's authorized official is Stacy Glenn .
The authorized official title is Clinical Director and has the following contact phone number (314) 392-3822.

The CLIA number assigned to this NPI record is 26D2218821 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 3/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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