Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Other names
TidalHealth Behavioral Health McCready
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ISHMAEL RITCHIE (SR. VICE PRESIDENT/CFO)
(410) 543-7298
Entity
Organization
Contact information
Practice address
201 HALL HWY, CRISFIELD, MD 21817-1237
(410) 968-1200
Mailing address
PO BOX 826880, PHILADELPHIA, PA 19182-6880
(410) 912-6989
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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