Provider First Line Business Practice Location Address: 
3936 S KENYON ST
    Provider Second Line Business Practice Location Address: 
SOUND MENTAL HEALTH
    Provider Business Practice Location Address City Name: 
SEATTLE
    Provider Business Practice Location Address State Name: 
WA
    Provider Business Practice Location Address Postal Code: 
98118-4048
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
206-302-2200
    Provider Business Practice Location Address Fax Number: 
206-302-2210
    Provider Enumeration Date: 
01/09/2012