Organization
LANTANA RECOVERY OF CONNECTICUT, LLC
Active
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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