Organization
CENTER FOR BEHAVIORAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO MYRTHO JEAN CHARLES LMHC (PRESIDENT)
(954) 632-1983
Entity
Organization
Contact information
Practice address
950 S PINE ISLAND RD, A-150, PLANTATION, FL 33324-3918
(954) 632-1983
(954) 653-2965
Mailing address
434 WESTTREE LN, PLANTATION, FL 33324-1863
(954) 632-1983
(954) 653-2965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MH8948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH8948
PROVIDER LICENSE NUMBER
FL
Enumeration date
09/29/2009
Last updated
09/29/2009
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