Organization
LANTANA DETOX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDAN FREEMAN (COO)
(855) 740-1181
Entity
Organization
Contact information
Practice address
829 MINNESOTA ST, LANTANA, FL 33462-2752
(855) 740-1181
Mailing address
2636 OLD OKEECHOBEE RD, WEST PALM BEACH, FL 33409-4129
(855) 740-1181
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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