Organization
HEARTLAND BANYAN, LLC
Active
Organization
HEARTLAND BANYAN, LLC
Active
Other names
Banyan Heartland
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA NICHOLE NAUMAN (CONTRACTING AND CRED MANAGER)
(410) 800-8861
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
07/15/2026
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