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Tidalhealth Specialty Care, Llc
Adolescent and Children Mental Health Clinic/Center in Berlin, Maryland
NPI 1578224929

Tidalhealth Specialty Care, Llc is an Adolescent and Children Mental Health Clinic/Center based in Philadelphia, MD and is specialized in Adolescent and Children Mental Health. Tidalhealth Specialty Care, Llc practices in Berlin, MD. The NPI Number for Tidalhealth Specialty Care, Llc is 1578224929 and holds a License No. (Maryland).

The current practice location address for Tidalhealth Specialty Care, Llc is 11101 Cathage Rd, Berlin, MD and can be reached out via phone at 410-912-6104.

Location: 11101 Cathage Rd, Berlin, MD, 19182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578224929
Provider Name
Tidalhealth Specialty Care, Llc
Credential
Provider Entity Type
Organization
Address
11101 Cathage Rd, Berlin, MD, 19182
Phone Number
410-912-6104
Fax Number
Provider Enumeration Date
01/07/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11101 Cathage Rd
City
Berlin
State
Maryland
Zip
21811-2115
Phone Number
410-912-6104
Fax Number
person
Provider Business Mailing Address Details
Address
11101 Cathage Rd
City
Berlin
State
Maryland
Zip
21811-2115
Phone Number
410-912-6104
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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