NPI 1407221328
Banyan Detox, LLC
Practice location
- Address
- 201 SE Osceola St, Stuart, FL 34994-2210
- Phone
- (772) 200-4411
- Fax
- (772) 324-6455
- Mailing address
- 225 N Federal Hwy, Pompano Beach, FL 33062-4319
Authorised official
- Name
- John Sory
- Title
- Ceo
- Phone
- (954) 533-7705
Registered specialties (3)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Clinic/Center
Psychiatric Hospital
Registry record
- NPI
- 1407221328
- Entity type
- Organization
- NPI issued
- 3 Dec 2015
- Record last updated
- 13 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.