NPI | 1518776657 |
---|---|
Doing Business As | LUMINOUS PSYCHIATRIC |
Entity Type | Organization |
Authorized Contact | ANITA LOPES Member 518-788-7983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-01-03 |
Last Update Date | 2025-01-03 |