Mr. Matthew Philip Coston
Mr. Matthew Philip Coston is a Mental Illness Community Based Residential Treatment Facility in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2014
Practice location Address checks out
9330 59th Ave SWLakewood, WA 98499-2858
Phone: (253) 581-7020
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (WA) |
|---|
Record details
| NPI number | 1285033803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 20, 2014 |
| Last updated in NPPES | August 20, 2014 |
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MS. Theresa Kay Scott, RC00058099
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