Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
Other names
TidalHealth Crisis
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY GRIFFIN MBA, CRCE, CPC (SENIOR DIRECTOR)
(410) 543-7437
Entity
Organization
Contact information
Practice address
200 E. VINE STREET, TIDALHEALTH CRISIS CENTER, SALISBURY, MD 21804-2180
(410) 543-7181
(410) 912-4972
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 912-6989
(410) 912-4972
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
10/15/2018
Last updated
01/11/2022
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