Organization
LUMINIS HEALTH MEDICAL GROUP, LLC
Active
Other names
Anne Arundel Medical Group Behavioral Health Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ODENWALD (VICE PRESIDENT)
(443) 481-6415
Entity
Organization
Contact information
Practice address
2635 RIVA RD, ANNAPOLIS, MD 21401-7430
(443) 481-6549
(443) 481-6515
Mailing address
PO BOX 12622, BELFAST, ME 04915
(443) 481-6549
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
05/24/2021
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