Provider First Line Business Practice Location Address:
1400 112TH AVE. SE, SUITE 100
Provider Second Line Business Practice Location Address:
SOUND MENTAL HEALTH, 3RD FL
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-2441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-970-0779
Provider Business Practice Location Address Fax Number:
206-444-7810
Provider Enumeration Date:
01/20/2011