| NPI | 1669869517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DUANE RILEY President 817-808-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 63167) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-10-09 |