| NPI | 1831295559 |
|---|---|
| Doing Business As | BANYAN GROUP |
| Entity Type | Organization |
| Authorized Contact | RICHERD WHITTEMORE Executive Director 561-967-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW001957) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-07-20 |