Organization
HOPEWAY WELLNESS, LLC
Active
Parent organization
HOPEWAY FOUNDATION
Other names
HopeWay Wellness Clinic: Adolescent Mental Health TX Program, HopeWay Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEWAY FOUNDATION
Authorized official
DR. ALYSON R. KUROSKI-MAZZEI DO, MRO, DFAPA, FASA (CEO & CHIEF COMPLIANCE OFFICER)
(980) 859-2106
Entity
Organization
Contact information
Practice address
4014 MONROE ROAD, SUITE 270, CHARLOTTE, NC 28205
(980) 859-2106
Mailing address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(980) 859-2106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
04/08/2024
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