| Tides Behavioral Health Llc | |
|
4 Preston Ct Ste 101 Bedford MA 01730-2356 | |
| (781) 570-5781 | |
| Not Available |
| Full Name | Tides Behavioral Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 4 Preston Ct Ste 101, Bedford, Massachusetts |
| Authorized Official Name and Position | Luigi Vaccaro (BILLING) |
| Authorized Official Contact | 5613609589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Behavioral Health Llc 4 Preston Ct Ste 101 Bedford MA 01730-2356 Ph: () - | Tides Behavioral Health Llc 4 Preston Ct Ste 101 Bedford MA 01730-2356 Ph: (781) 570-5781 |
| NPI Number | 1073371860 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073371860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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