| NPI | 1013130293 |
|---|---|
| Doing Business As | TIDELAND PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHRIS RIGGS CFO 252-975-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-03-17 |