Organization
TRAILWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ELLIS LCSW (PRESIDENT)
(909) 576-2224
Entity
Organization
Contact information
Practice address
5130 S PECOS RD STE 2B, LAS VEGAS, NV 89120-1248
(909) 576-2224
(888) 753-3302
Mailing address
5130 S PECOS RD STE 2B, LAS VEGAS, NV 89120-1248
(909) 576-2224
(888) 753-3302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5980-C
NV
Other
Enumeration date
01/20/2012
Last updated
06/20/2018
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