Organization
TIDEMARK INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYNE LAXTON (OWNER/ EXECUTIVE DIRECTOR)
(410) 417-7385
Entity
Organization
Contact information
Practice address
7822 EASTERN AVE, BALTIMORE, MD 21224-2115
(443) 596-8178
Mailing address
7822 EASTERN AVE, BALTIMORE, MD 21224-2115
(443) 596-8178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
08/16/2022
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