| NPI | 1871073387 |
|---|---|
| Doing Business As | LUMINOUS VITALITY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RONALD T. LEE Md/Owner 617-841-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 245984) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2021-06-01 |