| NPI | 1588203038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY S MOORE-MERRELL Owner, President & CEO 702-815-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-10-06 |