Organization
SOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DE LUCA (VP AND CHIEF FINANCIAL OFFICIER)
(206) 901-2070
Entity
Organization
Contact information
Practice address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
(206) 901-2010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WA
261QM0850X
Adult Mental Health Clinic/Center
—
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
WA
261QM2500X
Medical Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045651
PROVIDER ONE
WA
05
—
1982800
—
WA
Enumeration date
10/16/2006
Last updated
12/17/2024
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