JESSICA LANE RE, LLC
Substance Abuse Rehabilitation Facility · RAYTOWN, MO
Organization Active NPI 1760197644
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | ✓ | — | — |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | — | — | |
| Psychiatric Residential Treatment Facility | 323P00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.