| NPI | 1881989010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE FORTE' Owner 254-776-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65707) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2013-06-27 |