A Chosen Path Therapuetic Solutions
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Prairie, TX. Organization (NPI-2).
NPI number1255047379
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1255047379
- Entity type
- Organization (NPI-2)
- Legal business name
- A Chosen Path Therapuetic Solutions
- Organization subpart
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
4683 Betts DrGrand Prairie, TX 75052-1801
Phone 972-890-6101
Mailing address
5963 Ridgeway DrGrand Prairie, TX 75052-0444
Other practice locations
4683 Betts Dr Ste 403
Grand Prairie, TX 75052-1807
Grand Prairie, TX 75052-1807
Phone 972-890-6101
Authorized official
Kenisha Rotibi
President
9728906101
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