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NPI 1629922539

NPI 1629922539 : SWEET SPRINGS RECOVERY LLC : SWEET SPRINGS, MO

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General NPI Number Information
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    NPI Number           |    1629922539
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWEET SPRINGS RECOVERY LLC 
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Dates
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    Enumeration Date     |    02/26/2026
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    105 E HOSPITAL DR 
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    City                 |    SWEET SPRINGS
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    State                |    MO
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    Zip                  |    65351-2229
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    Country              |    US
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    Telephone            |    448-238-7044
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    105 E HOSPITAL DR 
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    City                 |    SWEET SPRINGS
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    State                |    MO
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    Zip                  |    65351-2229
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GENE  KATS 
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    Credential           |    
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    Telephone            |    718-415-6167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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