| NPI | 1124883160 |
|---|---|
| Doing Business As | LUMINOUS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DAVID OPOLLO ROSS Clinical Director 360-602-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-07-11 |