Provider Demographics
NPI:1720889496
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:MR
Authorized Official - First Name:VARNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:443-992-0454
Mailing Address - Street 1:8608 SWEET AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1264
Mailing Address - Country:US
Mailing Address - Phone:443-992-0454
Mailing Address - Fax:
Practice Address - Street 1:2118 E MONUMENT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-2334
Practice Address - Country:US
Practice Address - Phone:443-992-0454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TREYWAY MULTI TREATMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)