Organization
A CHOSEN PATH THERAPUETIC SOLUTIONS
Active
Organization
A CHOSEN PATH THERAPUETIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENISHA ROTIBI LCSW (PRESIDENT)
(972) 890-6101
Entity
Organization
Contact information
Practice address
4683 BETTS DR, GRAND PRAIRIE, TX 75052-1801
(972) 890-6101
Mailing address
5963 RIDGEWAY DR, GRAND PRAIRIE, TX 75052-0444
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3649337
—
TX
Enumeration date
01/24/2023
Last updated
02/06/2023
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