| NPI | 1386212900 |
|---|---|
| Doing Business As | TIDEWATER WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CHANDRA PLATZ Owner 413-687-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0000X Psychologist, Family | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |