| Creating Pathways Llc | |
|
2066 Jupiter Hills Ln Henderson NV 89012-3283 | |
| (909) 576-2224 | |
| Not Available |
| Full Name | Creating Pathways Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2066 Jupiter Hills Ln, Henderson, Nevada |
| Authorized Official Name and Position | Charles Ellis (CEO) |
| Authorized Official Contact | 9095762224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Pathways Llc 2066 Jupiter Hills Ln Henderson NV 89012-3283 Ph: (909) 576-2224 | Creating Pathways Llc 2066 Jupiter Hills Ln Henderson NV 89012-3283 Ph: (909) 576-2224 |
| NPI Number | 1689261265 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689261265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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