Organization
BANYAN DELAWARE LLC
Active
Other names
Banyan Delaware
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SORY (CEO)
(954) 533-7705
Entity
Organization
Contact information
Practice address
21 W CLARKE AVE STE 4001, MILFORD, DE 19963-1859
(302) 315-0002
(302) 725-0030
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(888) 879-4975
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115085900
—
DE
Enumeration date
02/05/2020
Last updated
06/29/2026
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