Organization
TIDALHEALTH PENINSULA REGIONAL, INC.
Active
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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