BOCA RI LLC NPI 1932631827

NPI Information

BOCA RI LLC is a substance abuse rehabilitation facility in Boca Raton, 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. BOCA RI LLC NPI is 1932631827. The provider is registered as an organization entity type.
The provider Is Doing Business As Banyan Boca.

The provider's business location address is:

1000 NW 15TH ST
BOCA RATON, FL
ZIP 33486
Phone: (954) 533-7705
Fax: (954) 337-2674

The provider's authorized official is Erin Kennedy .
The authorized official title is Cro and has the following contact phone number (954) 533-7705.

The CLIA number assigned to this NPI record is 10D2126068 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 5/25/2021.

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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