Organization
LUMINARIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LEA RIVERA (CHIEF EXECUTIVE OFFICER)
(520) 840-0431
Entity
Organization
Contact information
Practice address
28658 ARIZONA AVENUE, WELLTON, AZ 85356
(520) 466-2233
(520) 466-2242
Mailing address
4040 N DEL MONTE DR, ELOY, AZ 85131-1506
(520) 466-2233
(520) 466-2242
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5056
AZ
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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