MR. Matthew Philip Coston

NPI #1285033803 in Lakewood, Washington

Provider Information

NPI Number: 1285033803
Entity Type: Individual
Name: MR. Matthew Philip Coston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 20, 2014
Last Updated: Aug 20, 2014

Practice Location

Address: 9330 59TH AVE SW
City: Lakewood
State: Washington
ZIP Code: 98499-2858
Phone: (253) 581-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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