LANTANA RECOVERY NPI 1801431069

NPI Information

NPI: 1801431069
Provider Name: LANTANA RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 42D2178069

Address:
65 GADSDEN ST
CHARLESTON, SC
ZIP 29401
Phone: (314) 603-3492
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LANTANA RECOVERY is a rehabilitation and substance use disorder clinic center in Charleston, SC. LANTANA RECOVERY NPI is 1801431069. The provider is registered as an organization entity type.

The provider's business location address is:

65 GADSDEN ST
CHARLESTON, SC
ZIP 29401-145
Phone: (314) 603-3492

The provider's authorized official is Warren Phillips .
The authorized official title is Owner and has the following contact phone number (314) 603-3492.

The CLIA number assigned to this NPI record is 42D2178069 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 7/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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