Organization
SANA LAKE RECOVERY CENTER, LLC
Active
Organization
SANA LAKE RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY L. GLENN LCSW (CHIEF CLINICAL OFFICER)
(314) 392-3822
Entity
Organization
Contact information
Practice address
6300 N LUCEME AVE, KANSAS CITY, MO 64151-3199
(816) 407-9596
Mailing address
6300 N LUCERNE AVE, KANSAS CITY, MO 64151-3199
(816) 407-9596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
04/05/2022
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