Lantana Detox Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANTANA DETOX CENTER

Practice address

829 Minnesota St
Lantana, FL 33462-2752

Phone

(855) 740-1181

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandan FreemanNPI 1386277986

Title

Coo

Phone

(855) 740-1181

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandan Freeman

  • Community/Behavioral Health Agency
  • Boynton Beach, FL
  • NPI 1386277986
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1083374300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 OLD OKEECHOBEE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094129",
            "telephone_number": "855-740-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 MINNESOTA ST",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622752",
            "telephone_number": "855-740-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTANA DETOX CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRANDAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "855-740-1181"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Leonor Kniznik, DDS
• Kwame Kyerematen-Afrani
• Christopher La Tourette La Riche, M.D.
• Bryant Donald Lambe, M.D.
• Lantana Alf Inc (Atlantis Assisted Living)
• Lantana Diagnostic Services LLC
• Lantana Pharmacy
• Lantana Wellness
• Nasser Lavaud
• Lawrence J Bentvena DC PA (Midcounty Chiropractic & Rehabilitation Clinic)

• Substance Abuse Rehabilitation Facility in Lantana, FL
• Providers in Lantana, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.