Organization
RIAN RYELEE FOUNDATION INC
Active
Other names
LT Medical & technology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RIAN GRAHAM (EXECUTIVE DIRECTOR)
(248) 657-0826
Entity
Organization
Contact information
Practice address
5931 GREENVILLE AVE # 1102, DALLAS, TX 75206-1906
(312) 450-0857
Mailing address
PO BOX 90061, EAST POINT, GA 30364-0061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
225C00000X
Rehabilitation Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/30/2024
Last updated
09/25/2024
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