HEARTLAND BANYAN, LLC is a substance abuse rehabilitation facility in Gilman, IL. 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. HEARTLAND BANYAN, LLC NPI is 1215404819. The provider is registered as an organization entity type.
The provider's business location address is:
1237 E 1600 NORTH RD
GILMAN, IL
ZIP 60938-112
Phone: (888) 879-4975
Fax: (954) 781-7173
The provider's authorized official is Rene Molina .
The authorized official title is Director Of Credentialing & Contrac and has the following contact phone number (954) 533-7705.
The CLIA number assigned to this NPI record is 14D2158927 - other - substance abuse treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/1/2018 and was last updated on 2/7/2023.