Organization
SWEET SPRINGS LIFE RECOVERY INC
Active
Organization
SWEET SPRINGS LIFE RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY KATSNELSON (OWNER)
(718) 415-6167
Entity
Organization
Contact information
Practice address
105 E HOSPITAL DR, SWEET SPRINGS, MO 65351-2229
(660) 200-9050
(660) 600-3070
Mailing address
105 E HOSPITAL DR, SWEET SPRINGS, MO 65351-2229
(660) 200-9050
(660) 600-3070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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