Organization
TIDAL WAVE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRANCIS WERNER (CEO)
(215) 370-3646
Entity
Organization
Contact information
Practice address
3396 MILLER ST, PHILADELPHIA, PA 19134-5325
(215) 901-3512
Mailing address
3396 MILLER ST, PHILADELPHIA, PA 19134-5325
(215) 901-3512
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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