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Banyan Gulf Breeze Llc
Substance Abuse Rehabilitation Facility in Gulf Breeze, Florida
NPI 1386321180

Banyan Gulf Breeze Llc is a Substance Abuse Rehabilitation Facility based in Pompano Beach, FL. Banyan Gulf Breeze Llc practices in Gulf Breeze, FL. The NPI Number for Banyan Gulf Breeze Llc is 1386321180 and holds a License No. (Florida).

The current practice location address for Banyan Gulf Breeze Llc is 1830 Hickory Shores Rd, Gulf Breeze, FL and can be reached out via phone at 954-533-7705.

Location: 1830 Hickory Shores Rd, Gulf Breeze, FL, 33062-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386321180
Provider Name
Banyan Gulf Breeze Llc
Credential
Provider Entity Type
Organization
Address
1830 Hickory Shores Rd, Gulf Breeze, FL, 33062-4319
Phone Number
954-533-7705
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1830 Hickory Shores Rd
City
Gulf Breeze
State
Florida
Zip
32563-9143
Phone Number
954-533-7705
Fax Number
person
Provider Business Mailing Address Details
Address
1830 Hickory Shores Rd
City
Gulf Breeze
State
Florida
Zip
32563-9143
Phone Number
954-533-7705
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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