| NPI | 1205718129 |
|---|---|
| Doing Business As | TIDAL SHIFT COUNSELING |
| Entity Type | Organization |
| Authorized Contact | IAN KOCH Member 609-709-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |