Organization
BANYAN COLUMBIA, LLC
Active
Organization
BANYAN COLUMBIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SORY (CEO)
(954) 533-7705
Entity
Organization
Contact information
Practice address
915 HOOK AVE, WEST COLUMBIA, SC 29169-5332
(954) 533-7705
(954) 781-7173
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
01/19/2026
Last updated
01/19/2026
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