| NPI | 1023872975 |
|---|---|
| Doing Business As | TIDAL BEHAVIORAL ABA NJ LLC |
| Entity Type | Organization |
| Authorized Contact | JACK ELIAS Controller 171-873-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |