| NPI | 1174724991 |
|---|---|
| Doing Business As | TIDALHEALTH COVID INFUSION CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY CFO 410-912-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-02-28 |