Organization
LUMINANCE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CASTANON (MANAGING DIRECTOR)
(949) 359-7326
Entity
Organization
Contact information
Practice address
27126B PASEO ESPADA # B, SUITE 721, SAN JUAN CAPISTRANO, CA 92675-2721
(949) 359-7300
Mailing address
27131 CALLE ARROYO STE 1703, SAN JUAN CAPISTRANO, CA 92675-2700
(949) 359-7300
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
05/09/2016
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