Provider First Line Business Practice Location Address:
MAINSTAY AT SEATTLE CENTRAL COLLEGE
Provider Second Line Business Practice Location Address:
1701 BROADWAY MS BE3210
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-934-3813
Provider Business Practice Location Address Fax Number:
206-934-5533
Provider Enumeration Date:
04/30/2019