| NPI | 1184055493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DENAE QUARANTA-LEECH Owner 325-660-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 65461) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2019-04-10 |