NPI 1902518848

Banyan Alaska, LLC

Organisation Substance Abuse Rehabilitation Facility Wasilla, AK

Practice location

Address: 4750 E Begich Circle, Wasilla, AK 99654
Phone: (907) 290-5450
Fax: (907) 290-5460
Mailing address: 225 N Federal Hwy, Pompano Beach, FL 33062-4319

Authorised official

Name: Anastasia Nichole Nauman
Title: Contracting and Cred Manager
Phone: (410) 800-8861

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Alaska →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Alaska →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI: 1902518848
Entity type: Organization
NPI issued: 22 Dec 2022
Record last updated: 15 Jul 2026

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.