| NPI | 1770389306 |
|---|---|
| Doing Business As | BANYAN TAMPA |
| Entity Type | Organization |
| Authorized Contact | JOHN SORY Chief Executive Officer 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-05-13 |