| Lantana Recovery | |
|
65 Gadsden St Charleston SC 29401-1145 | |
| (314) 603-3492 | |
| Not Available |
| Full Name | Lantana Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 65 Gadsden St, Charleston, South Carolina |
| Authorized Official Name and Position | Warren Phillips (OWNER) |
| Authorized Official Contact | 3146033492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lantana Recovery 65 Gadsden St Charleston SC 29401-1145 Ph: () - | Lantana Recovery 65 Gadsden St Charleston SC 29401-1145 Ph: (314) 603-3492 |
| NPI Number | 1801431069 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 07/31/2021 |
| Certification Date | 07/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801431069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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