Healthcare Provider Details

I. General information

NPI: 1174438832
Provider Name (Legal Business Name): FORTE CHILD SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/28/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 W PICO AVE STE 5
EL CENTRO CA
92243-1377
US

IV. Provider business mailing address

1402 W PICO AVE STE 5
EL CENTRO CA
92243-1377
US

V. Phone/Fax

Practice location:
  • Phone: 760-442-0451
  • Fax:
Mailing address:
  • Phone: 760-442-0451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DORA FUENTES
Title or Position: CO-CEO, FOUNDER
Credential: MSW
Phone: 760-442-0451