| NPI | 1962027094 |
|---|---|
| Other Name | TIDALHEALTH BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrative Officer 410-543-7497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-07-22 |