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Banyan Sober Living, Inc.
Clinical Medical Laboratory in Fort Lauderdale, Florida
NPI 1285978338

Banyan Sober Living, Inc. is a Clinical Medical Laboratory based in Fort Lauderdale, FL. Banyan Sober Living, Inc. practices in Fort Lauderdale, FL. The NPI Number for Banyan Sober Living, Inc. is 1285978338 and holds a License No. (Florida).

The current practice location address for Banyan Sober Living, Inc. is 2500 E Commercial Blvd, Fort Lauderdale, FL and can be reached out via phone at 954-746-8232 and via fax at 954-746-8981. You can also correspond with Banyan Sober Living, Inc. through the mailing address at 2500 E COMMERCIAL BLVD, FORT LAUDERDALE, FL - 33308-4124 (mailing address contact number: 954-746-8232).

Location: 2500 E Commercial Blvd, Fort Lauderdale, FL, 33308-4124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285978338
Provider Name
Banyan Sober Living, Inc.
Credential
Provider Entity Type
Organization
Address
2500 E Commercial Blvd, Fort Lauderdale, FL, 33308-4124
Phone Number
954-746-8232
Fax Number
954-746-8981
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10D2047989 01 FL CLIA CERTIFICATE OF WAIVER
institution
Provider Business Practice Location Address Details
Address
2500 E Commercial Blvd
City
Fort Lauderdale
State
Florida
Zip
33308-4124
Phone Number
954-746-8232
Fax Number
954-746-8981
person
Provider Business Mailing Address Details
Address
2500 E Commercial Blvd
City
Fort Lauderdale
State
Florida
Zip
33308-4124
Phone Number
954-746-8232
Fax Number
954-746-8981
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
10D2047989 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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