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Banyan Alaska, Llc
Substance Abuse Rehabilitation Facility in Wasilla, Alaska
NPI 1902518848

Banyan Alaska, Llc is a Substance Abuse Rehabilitation Facility based in Pompano Beach, AK. Banyan Alaska, Llc practices in Wasilla, AK. The NPI Number for Banyan Alaska, Llc is 1902518848 and holds a License No. (Alaska).

The current practice location address for Banyan Alaska, Llc is 4750 E Begich Circle, Wasilla, AK and can be reached out via phone at 888-879-4975 and via fax at 954-781-7173.

Location: 4750 E Begich Circle, Wasilla, AK, 33062-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902518848
Provider Name
Banyan Alaska, Llc
Credential
Provider Entity Type
Organization
Address
4750 E Begich Circle, Wasilla, AK, 33062-4319
Phone Number
888-879-4975
Fax Number
954-781-7173
Provider Enumeration Date
12/22/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4750 E Begich Circle
City
Wasilla
State
Alaska
Zip
99654
Phone Number
888-879-4975
Fax Number
954-781-7173
person
Provider Business Mailing Address Details
Address
4750 E Begich Circle
City
Wasilla
State
Alaska
Zip
99654
Phone Number
888-879-4975
Fax Number
954-781-7173
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
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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