Organization
NOVA WAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAVIA MARTIN (EXECUTIVE DIRECTOR)
(704) 890-4095
Entity
Organization
Contact information
Practice address
5524 HOWARD ST, CHARLOTTE, NC 28269-7336
(704) 890-4095
Mailing address
5524 HOWARD ST, CHARLOTTE, NC 28269-7336
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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