JESSICA LANE RE, LLC

RAYTOWN, MO
NPI1760197644
Doing Business AsTHE RECOVERY VILLAGE KANSAS CITY
Entity TypeOrganization
Authorized ContactBELINA SURUJON
Contracting & Licensing Director
305-785-5520
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies323P00000X Psychiatric Residential Treatment Facility
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2023-01-16
Last Update Date2026-05-11
Business Address
JESSICA LANE RE, LLC
11901 JESSICA LN
RAYTOWN, MO 64138-2639
Phone number: 754-300-3120
Mailing Address
JESSICA LANE RE, LLC
2200 N COMMERCE PKWY STE 200
WESTON, FL 33326-3258
Phone number: 305-785-5520