| NPI | 1366139735 |
|---|---|
| Doing Business As | BANYAN GROUP |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH CODY SMITH Owner 561-818-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |