Organization
CREATING PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ELLIS LCSW (CEO)
(909) 576-2224
Entity
Organization
Contact information
Practice address
2066 JUPITER HILLS LN, HENDERSON, NV 89012-3283
(909) 576-2224
Mailing address
2066 JUPITER HILLS LN, HENDERSON, NV 89012-3283
(909) 576-2224
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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