Organization
TIDE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDI USMAN (PRESIDENT)
(262) 271-1143
Entity
Organization
Contact information
Practice address
9277 CARTERSVILLE RD, COLUMBIA, MD 21046-1603
(262) 271-1143
Mailing address
9277 CARTERSVILLE RD, COLUMBIA, MD 21046-1603
(262) 271-1143
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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