National Provider Identifier Database

BANYAN ALASKA 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 ALASKA, LLC
4750 E BEGICH CIRCLE
WASILLA, AK99654
Phone: 907-290-5450
Fax: 907-290-5460
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for BANYAN ALASKA, LLC

NPI Number 1902518848
Legal business name
LBN
BANYAN ALASKA, LLC
Authorized official JOHN SORY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/22/2022
Last updated 01/29/2026 - About 4 months 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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