JESSICA LANE RE, LLC

Substance Abuse Rehabilitation Facility · GLADSTONE, MO

Organization Active NPI 1023820073

Taxonomy & licensure

Specialty	Code	Primary	License	State
Substance Abuse Rehabilitation Facility	324500000X	✓	—	—
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X		—	—

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.