Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Behavioral Health Ocean Pines
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
11101 CATHAGE RD, UNIT 102, BERLIN, MD 21811-2115
(410) 912-6104
Mailing address
P.O. BOX 825461, PHILADELPHIA, PA 19182
(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
01/07/2022
Last updated
07/22/2025
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