National Provider Identifier Database

BANYAN TREATMENT CENTER MASS LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

BANYAN TREATMENT CENTER MASS, LLC
66K CONCORD ST
WILMINGTON, MA01887-2179
Phone: 888-879-4975
Fax: 954-781-7173
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for BANYAN TREATMENT CENTER MASS, LLC

NPI Number 1598118515
Legal business name
LBN
BANYAN TREATMENT CENTER MASS, LLC
Authorized official RENE MOLINA - (DIRECTOR OF CREDENTIALING & CONTRAC)
Entity Organization
Organization subpart No
Enumeration date 07/14/2016
Last updated 12/09/2022 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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