| NPI | 1932631827 |
|---|---|
| Doing Business As | BANYAN BOCA |
| Entity Type | Organization |
| Authorized Contact | RENE MOLINA Director Of Credentialing & Contrac 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: FL 8678) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-12-09 |