MATTHEW PHILIP COSTON

LAKEWOOD, WA
NPI1285033803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2014-08-20
Last Update Date2014-08-20
Business Address
Mr. MATTHEW PHILIP COSTON
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
Mailing Address
Mr. MATTHEW PHILIP COSTON
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number:
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