JESSICA LANE RE, LLC

GLADSTONE, MO
NPI1023820073
Doing Business AsTHE RECOVERY VILLAGE KANSAS CITY
Doing Business AsTHE RECOVERY VILLAGE KANSAS CITY OUTPATIENT CENTER
Entity TypeOrganization
Authorized ContactBELINA SURUJON
VP Contracting & Licensing
305-785-5520
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2025-01-24
Last Update Date2025-01-24
Business Address
JESSICA LANE RE, LLC
305 NW ENGLEWOOD CT STE 300
GLADSTONE, MO 64118-4000
Phone number: 754-300-3120
Mailing Address
JESSICA LANE RE, LLC
100 SE 3RD AVE STE 1800
FORT LAUDERDALE, FL 33394-0011
Phone number: 754-300-3120