Organization
LUMINIS HEALTH BEHAVIORAL HEALTH SERVICES, LLC
Active
Parent organization
LUMIS HEALTH CLINICAL ENTERPRISE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUMIS HEALTH CLINICAL ENTERPRISE, INC.
Authorized official
PETER ODENWALD (VP)
(443) 481-1000
Entity
Organization
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 623-4350
Mailing address
2000 MEDICAL PKWY STE 606, ANNAPOLIS, MD 21401-3748
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
09/13/2022
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