Organization · Type 2 NPI
Jessica Lane Re, LLC
Substance Abuse Rehabilitation Facility · Gladstone, MO
Practice location
305 NW Englewood Ct Ste 300
Gladstone, MO 64118-4000
Fax (888) 919-4431
Mailing address
2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2 other providers at this address
About NPI 1023820073
Jessica Lane Re, LLC's National Provider Identifier is 1023820073, issued on Jan 24, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Gladstone, MO. The record was last updated on May 11, 2026.