Provider First Line Business Practice Location Address: 
SOUNDPATH HEALTH
    Provider Second Line Business Practice Location Address: 
32129 WEYERHAEUSER WAY S. SUITE 201
    Provider Business Practice Location Address City Name: 
FEDERAL WAY
    Provider Business Practice Location Address State Name: 
WA
    Provider Business Practice Location Address Postal Code: 
98001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
253-517-4300
    Provider Business Practice Location Address Fax Number: 
253-517-4377
    Provider Enumeration Date: 
08/09/2018