Organization
LUMINA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YARILYN POLANCO (OWNER)
(973) 424-7878
Entity
Organization
Contact information
Practice address
1301 W PARK AVE STE G, OCEAN, NJ 07712-3190
(973) 424-7878
Mailing address
1301 W PARK AVE STE G, OCEAN, NJ 07712-3190
(973) 424-7878
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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