BANYAN DETOX LLC NPI 1407221328

NPI Information

  • NPI: 1407221328
  • Provider Name: BANYAN DETOX, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D2105083
  • Address: 201 SE OSCEOLA ST
    STUART, FL
    ZIP 34994
  • Phone: (772) 200-4411

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NPI Details

BANYAN DETOX, LLC is a substance abuse rehabilitation facility in Stuart, FL. 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 DETOX, LLC NPI is 1407221328. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

201 SE OSCEOLA ST
STUART, FL
ZIP 34994-210
Phone: (772) 200-4411
Fax: (772) 324-6455

The provider's authorized official is John Sory .
The authorized official title is Ceo and has the following contact phone number (954) 533-7705.

The CLIA number assigned to this NPI record is 10D2105083 - other - sud treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 5/13/2025.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2283Q00000XPsychiatric HospitalNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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