Banyan Treatment Center Mass, LLC
NPI #1598118515 in Wilmington, Massachusetts
Provider Information
- NPI Number
- 1598118515
- Entity Type
- Organization
- Organization Name
- Banyan Treatment Center Mass, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 14, 2016
- Last Updated
- Dec 9, 2022
Practice Location
- Address
- 66K CONCORD ST
- City
- Wilmington
- State
- Massachusetts
- ZIP Code
- 01887-2179
- Phone
- (888) 879-4975
Authorized Official
- Name
- MR. RENE MOLINA
- Title
- DIRECTOR OF CREDENTIALING & CONTRAC
- Phone
- (954) 533-7705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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