Organization
LUMINANCE HEALTH GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CASTANON (CEO)
(910) 303-8325
Entity
Organization
Contact information
Practice address
29422 CLIPPER WAY, LAGUNA NIGUEL, CA 92677-4621
(949) 482-8315
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
04/18/2017
Last updated
04/19/2017
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