| Banyan Philadelphia | |
|
100 N Buckstown Dr E-100 Langhorne PA 19047-1815 | |
| (888) 879-4975 | |
| (954) 781-7173 |
| Full Name | Banyan Philadelphia |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 100 N Buckstown Dr, Langhorne, Pennsylvania |
| Authorized Official Name and Position | Rene Molina (DIRECTOR OF CREDENTIALING & CONTRAC) |
| Authorized Official Contact | 9545337705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banyan Philadelphia 225 N Federal Hwy Pompano Beach FL 33062-4319 Ph: (888) 879-4975 | Banyan Philadelphia 100 N Buckstown Dr E-100 Langhorne PA 19047-1815 Ph: (888) 879-4975 |
| NPI Number | 1780101691 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780101691 | NPI | - | NPPES |
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