BANYAN TEXAS, LLC is a substance abuse rehabilitation facility in Waelder, TX. 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 TEXAS, LLC NPI is 1629689559. The provider is registered as an organization entity type.
The provider's business location address is:
4168 COUNTY ROAD 444
WAELDER, TX
ZIP 78959-328
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 45D2204905 - other - substance abuse treatment with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/13/2020 and was last updated on 2/17/2023.