Banyan Sprout, INC.
Community/Behavioral Health in Sarasota, FL. Organization (NPI-2).
NPI number1316247901
StatusActive
Last updated in NPPESOct 28, 2010
Details
- NPI
- 1316247901
- Entity type
- Organization (NPI-2)
- Legal business name
- Banyan Sprout, INC.
- Organization subpart
- No
- Enumeration date
- Oct 28, 2010
- Last updated
- Oct 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | PY 7193 | FL | Yes |
| 251B00000X | Case Management | PY 7193 | FL |
Practice location
1188 N Tamiami TrlSuite 205-C
Sarasota, FL 34236-2414
Phone 941-539-8993 · Fax 941-362-0452
Mailing address
1188 N Tamiami TrlSuite 205-C
Sarasota, FL 34236-2414
Phone 941-539-8993 · Fax 941-362-0452
Authorized official
Allison Pinto
President
9415398993
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