IndividualActive
Matthew Coston
NPI 1285033803 · Mental Illness Community Based Residential Treatment Facility · Lakewood, WA
Provider details
- NPI number
- 1285033803
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
9330 59th Ave Sw
Lakewood, WA 98499-2858
Phone: (253) 581-7020
Approximate (ZIP-level) locationGet directions
Mailing address
9330 59th Ave Sw
Lakewood, WA 98499-2858
Registry dates
- Enumerated
- 2014-08-20
- Last updated
- 2014-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.