Organization
KIND WAY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA PATROCINIO MBA-HALL (CEO)
(614) 425-7437
Entity
Organization
Contact information
Practice address
8122 LINCOLN LN, REYNOLDSBURG, OH 43068-8015
(614) 425-7437
Mailing address
8122 LINCOLN LN, REYNOLDSBURG, OH 43068-8015
(614) 425-7437
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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