| NPI | 1396001749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNE STOOPS President & CEO 5092-029-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60115047) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2013-04-22 |