Provider Demographics
NPI:1689188971
Name:BEHAVIORAL THERAPY CENTER INC
Entity Type:Organization
Organization Name:BEHAVIORAL THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOVANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:786-337-1960
Mailing Address - Street 1:2347 SW 2ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1508
Mailing Address - Country:US
Mailing Address - Phone:786-337-1960
Mailing Address - Fax:
Practice Address - Street 1:2347 SW 2ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1508
Practice Address - Country:US
Practice Address - Phone:786-337-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health