Organization
BANYAN CASTLE ROCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA NICHOLE NAUMAN (CONTRACTING AND CREDENTIALING MANAG)
(954) 533-7705
Entity
Organization
Contact information
Practice address
1055 S PERRY ST, CASTLE ROCK, CO 80104-1949
(303) 381-8340
(303) 381-8341
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(954) 533-7705
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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