Organization
LANTANA RECOVERY OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GOODSTAT LCSW (BOARD MEMBER)
(954) 415-0758
Entity
Organization
Contact information
Practice address
143 WEST ST, NEW MILFORD, CT 06776-3599
(203) 598-2738
Mailing address
65 GADSDEN ST, CHARLESTON, SC 29401-1145
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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