Banyan Treatment Center Of Il, Llc

LBN: Banyan Treatment Center Of Il, Llc
Banyan Treatment Center Of Il, Llc is an health care organization with primary practice located at 50 S Main St Suite 290, Naperville IL 60540-5484. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Banyan Treatment Center Of Il, Llc can be contacted via phone (888) 879-4975, or through Molina, Rene via phone (954) 533-7705.

Contact Information

Primary practice address
50 S Main St Suite 290 Naperville IL 60540-5484
Phone: (888) 879-4975
Fax: (954) 781-7173
Website:
Map and Directions
Authorized official contact:
Name: Molina, Rene
Phone: (954) 533-7705

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1366811820
LBN Legal business name Banyan Treatment Center Of Il, Llc
DBA Doing business as
Authorized official Molina, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2015
Last updated Dec 9th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366811820 NPPES
Illinois Other 14D2101029 CLIA
Illinois Other A-8949-001-A CLIA

Popular Providers