Organization · NPI-2

A Vision Of Choice

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Fort Worth, TX

NPI number1417623232
StatusActive
Last updated in NPPESMar 29, 2023

Details

NPI
1417623232
Entity type
Organization (NPI-2)
Legal business name
A Vision Of Choice
Organization subpart
No
Enumeration date
Aug 20, 2021
Certification date
Mar 29, 2023
Last updated
Mar 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

4705 Palm Ridge Dr
Fort Worth, TX 76133-8316

Phone 817-849-4005

Mailing address

Po Box 331231
Fort Worth, TX 76163-1231

Phone 817-849-4005

Authorized official

Callie Denise Mitchell
Owner
8178494005

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