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Organization

KINDWAY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TASHA WILLIAMS (MANAGING MEMBER)
(321) 831-9197
Entity
Organization

Contact information

Practice address
5320 NEVIN RD STE B, CHARLOTTE, NC 28269-2946
(321) 831-9197
Mailing address
5320 NEVIN RD STE A, CHARLOTTE, NC 28269-2946
(321) 831-9197

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
07/02/2025
Last updated
07/09/2025
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