Organization
A VISION OF CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALLIE DENISE MITCHELL (OWNER)
(817) 849-4005
Entity
Organization
Contact information
Practice address
4705 PALM RIDGE DR, FORT WORTH, TX 76133-8316
(817) 849-4005
Mailing address
PO BOX 331231, FORT WORTH, TX 76163-1231
(817) 849-4005
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
03/29/2023
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