Individual provider · Type 1 NPI

Matthew Philip Coston

Mental Illness Community Based Residential Treatment Facility · Lakewood, WA

NPI number 1285033803 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1285033803

Matthew Philip Coston's National Provider Identifier is 1285033803, issued on Aug 20, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Lakewood, WA. The record was last updated on Aug 20, 2014.