Provider First Line Business Practice Location Address:
RECOVERY PLACE KENT
Provider Second Line Business Practice Location Address:
505 WASHINGTON AVE. S.
Provider Business Practice Location Address City Name:
KENT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98032-9509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-833-7444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2017