Provider First Line Business Practice Location Address:
1919 S KENT DES MOINES RD
Provider Second Line Business Practice Location Address:
SOUND MENTAL HEALTH, #303
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98198-7564
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:
01/20/2011