Organization
VITALITY ZONE
Active
Other names
Vitality Zone
Organization subpart
No
Provider details
NPI number
Authorized official
MENZISE RICHARDSON (DIRECTOR)
(901) 218-1119
Entity
Organization
Contact information
Practice address
600 MID CITIES BLVD, HURST, TX 76054-2741
(901) 218-1119
Mailing address
310 CREIGHTON AVE, RED OAK, TX 75154-1460
(901) 218-1119
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
03/04/2025
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