TIDES BEHAVIORAL HEALTH LLC; NPI #1073371860

Contact Information

TIDES BEHAVIORAL HEALTH LLC

4 PRESTON CT STE 101
BEDFORD, MA 01730-2356

Phone: 781-570-5781
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Adult Mental Health	261QM0850X

Indicates primary specialty

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NPI Profile & details for TIDES BEHAVIORAL HEALTH LLC

NPI #	`1073371860`
LBN Legal business name	TIDES BEHAVIORAL HEALTH LLC
Authorized official	JEFFREY CLUETT - (BILLING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/07/2024
Last updated	09/30/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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