Organization
BANYAN PALM SPRINGS LLC
Active
Other names
Banyan Palm Springs Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SORY (CEO)
(954) 533-7705
Entity
Organization
Contact information
Practice address
73771 DINAH SHORE DR, PALM DESERT, CA 92211-0860
(760) 616-5800
(760) 673-7443
Mailing address
225 N FEDERAL HWY, POMPANO BEACH, FL 33062-4319
(303) 381-8341
(954) 781-7173
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
05/13/2025
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