Organization
TRAILWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ELLIS (CEO)
(702) 560-5973
Entity
Organization
Contact information
Practice address
2832 TILTEN KILT AVE, NORTH LAS VEGAS, NV 89081-6570
(702) 633-9071
Mailing address
2832 TILTEN KILT AVE, NORTH LAS VEGAS, NV 89081-6570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
NV
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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