Organization
BOCA RI LLC
Active
Other names
Banyan Palm Beach
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA NAUMAN (CEO)
(410) 800-8861
Entity
Organization
Contact information
Practice address
4020 LAKE WORTH RD, PALM SPRINGS, FL 33461-3918
(561) 404-5505
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(954) 533-7705
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
07/14/2026
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