Organization
BANYAN TREATMENT CENTER MASS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE MOLINA (DIRECTOR OF CREDENTIALING & CONTRAC)
(954) 533-7705
Entity
Organization
Contact information
Practice address
66K CONCORD ST, WILMINGTON, MA 01887-2179
(888) 879-4975
(954) 781-7173
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(888) 879-4975
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
12/09/2022
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