Provider Demographics
NPI:1619693066
Name:TREYWAY MULTI TREATMENT SERVICES
Entity Type:Organization
Organization Name:TREYWAY MULTI TREATMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARNEY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:443-992-0454
Mailing Address - Street 1:1 N CHARLES ST STE 2310
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3700
Mailing Address - Country:US
Mailing Address - Phone:443-992-0454
Mailing Address - Fax:
Practice Address - Street 1:1839 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-1610
Practice Address - Country:US
Practice Address - Phone:443-992-0454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation