Provider First Line Business Practice Location Address:
2212 1ST AVE
Provider Second Line Business Practice Location Address:
SOUND MENTAL HEALTH, STE 200
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98121-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-302-2806
Provider Business Practice Location Address Fax Number:
206-302-2833
Provider Enumeration Date:
08/21/2009