Organization
LUMOS BEHAVIORAL HEALTH FAYETTEVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WEISS (CEO)
(917) 816-5353
Entity
Organization
Contact information
Practice address
11302 S MOUNTAIN RD, FAYETTEVILLE, PA 17222-9626
(717) 500-1111
Mailing address
124 GROVE AVE UNIT 339, CEDARHURST, NY 11516-4014
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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