BANYAN PALM SPRINGS LLC NPI 1912540766

NPI Information

BANYAN PALM SPRINGS LLC is a substance abuse rehabilitation facility in Palm Desert, CA. 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 PALM SPRINGS LLC NPI is 1912540766. The provider is registered as an organization entity type.

The provider's business location address is:

73771 DINAH SHORE DR
PALM DESERT, CA
ZIP 92211-860
Phone: (888) 879-4975

The provider's authorized official is Gilbert Yates .
The authorized official title is Contracting Supervisor and has the following contact phone number (954) 533-7705.

The enumeration date for this NPI number is 10/24/2019 and was last updated on 11/6/2023.

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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