| Tides Wellness Center Llc | |
|
617 Union Ave Ste 10 Brielle NJ 08730-1838 | |
| (973) 464-6985 | |
| Not Available |
| Full Name | Tides Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 617 Union Ave Ste 10, Brielle, New Jersey |
| Authorized Official Name and Position | Carolyn Artale (CEO) |
| Authorized Official Contact | 9734646985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Wellness Center Llc 617 Union Ave Ste 10 Brielle NJ 08730-1838 Ph: (973) 464-6985 | Tides Wellness Center Llc 617 Union Ave Ste 10 Brielle NJ 08730-1838 Ph: (973) 464-6985 |
| NPI Number | 1245823160 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 02/12/2021 |
| Certification Date | 02/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245823160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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