| NPI | 1780378463 |
|---|---|
| Doing Business As | LUMINOUS PSYCHIATRIC |
| Entity Type | Organization |
| Authorized Contact | CARRIE EDICK Member 518-788-7983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |