Organization
LUMIKA LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KIBUGA (MANAGING PARTNER)
(508) 335-6024
Entity
Organization
Contact information
Practice address
6772 W TRUMBULL RD, PHOENIX, AZ 85043-0112
(602) 675-3816
(480) 571-7959
Mailing address
5680 BRADENTON RD, CUMMING, GA 30040-1871
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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