Organization
HEARTLAND BANYAN, LLC
Active
Other names
Banyan Heartland
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SORY (CEO)
(954) 533-7705
Entity
Organization
Contact information
Practice address
1237 E 1600 NORTH RD, GILMAN, IL 60938-6112
(815) 707-2136
(815) 707-0241
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(954) 533-7705
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
04/15/2026
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