Organization · Type 2 NPI

Lumos Behavioral Health Fayetteville, LLC

Psychiatric Residential Treatment Facility · Fayetteville, PA

NPI number 1619821022 Active

Practice location

11302 S Mountain Rd
Fayetteville, PA 17222-9626

Mailing address

124 Grove Ave Unit 339
Cedarhurst, NY 11516-4014

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Residential Treatment Facility Primary 323P00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

About NPI 1619821022

Lumos Behavioral Health Fayetteville, LLC's National Provider Identifier is 1619821022, issued on Feb 23, 2026. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Fayetteville, PA. The record was last updated on Sep 18, 2026.