| Tidalhealth Behavioral Health Ocean Pines | |
|
11101 Cathage Rd Unit 102 Berlin MD 21811-2115 | |
| (410) 912-6104 | |
| Not Available |
| Full Name | Tidalhealth Behavioral Health Ocean Pines |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 11101 Cathage Rd, Berlin, Maryland |
| Authorized Official Name and Position | Stephanie Renee Gary (CFO) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Behavioral Health Ocean Pines P.o. Box 825461 Philadelphia PA 19182 Ph: (410) 912-6989 | Tidalhealth Behavioral Health Ocean Pines 11101 Cathage Rd Unit 102 Berlin MD 21811-2115 Ph: (410) 912-6104 |
| NPI Number | 1578224929 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578224929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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