OrganizationActive
Banyan Mooresville LLC
NPI 1427898147 · Substance Abuse Rehabilitation Facility · Mooresville, NC
Provider details
- NPI number
- 1427898147
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- John Sory, Ceo
Practice location
291 Commercial Dr
Mooresville, NC 28115-7870
Phone: (954) 533-7705
Fax: (954) 781-7173
Mailing address
225 N Federal Hwy
Pompano Beach, FL 33062-4319
Registry dates
- Enumerated
- 2024-05-30
- Last updated
- 2024-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.