BANYAN DELAWARE LLC NPI 1316579634

NPI Information

BANYAN DELAWARE LLC is a substance abuse rehabilitation facility in Milford, DE. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BANYAN DELAWARE LLC NPI is 1316579634. The provider is registered as an organization entity type.

The provider's business location address is:

21 W CLARKE AVE STE 4001
MILFORD, DE
ZIP 19963-859
Phone: (888) 879-4975
Fax: (954) 781-7173

The provider's authorized official is Sean Mintz .
The authorized official title is Cfo and has the following contact phone number (954) 533-7705.

The CLIA number assigned to this NPI record is 08D2188088 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 7/28/2023.

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:

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