Organization
TOTAL BEHAVIORAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN ROMERO (PRESIDENT)
(954) 740-3452
Entity
Organization
Contact information
Practice address
2455 HOLLYWOOD BLVD STE 211, HOLLYWOOD, FL 33020-6605
(954) 453-1154
Mailing address
2455 HOLLYWOOD BLVD STE 211, HOLLYWOOD, FL 33020-6605
(954) 453-1154
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659737559
—
FL
Enumeration date
12/22/2022
Last updated
12/22/2022
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