Provider First Line Business Practice Location Address:
400 YESLER WAY
Provider Second Line Business Practice Location Address:
SOUND MENTAL HEALTH, STE 112
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-963-5625
Provider Business Practice Location Address Fax Number:
206-205-0405
Provider Enumeration Date:
08/21/2009