| Sana Lake Recovery Center, Llc | |
|
6300 N Luceme Ave Kansas City MO 64151-3199 | |
| (816) 407-9596 | |
| Not Available |
| Full Name | Sana Lake Recovery Center, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 6300 N Luceme Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Stacy L. Glenn (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 3143923822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sana Lake Recovery Center, Llc 6300 N Lucerne Ave Kansas City MO 64151-3199 Ph: (816) 407-9596 | Sana Lake Recovery Center, Llc 6300 N Luceme Ave Kansas City MO 64151-3199 Ph: (816) 407-9596 |
| NPI Number | 1104450337 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104450337 | NPI | - | NPPES |
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