| NPI | 1295348506 |
|---|---|
| Doing Business As | LUNA BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MAGDALENA PEREZ-VILLANUEVA Clinical Psychologist 331-442-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |