| NPI | 1295248540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK C JOHNSON President 775-857-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01260) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |