Provider Demographics
NPI:1447621404
Name:THE LUKENS GROUP, LLC.
Entity type:Organization
Organization Name:THE LUKENS GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PUZDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-801-2100
Mailing Address - Street 1:10 SE CENTRAL PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-5903
Mailing Address - Country:US
Mailing Address - Phone:866-801-2100
Mailing Address - Fax:
Practice Address - Street 1:10 SE CENTRAL PKWY STE 400
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-5903
Practice Address - Country:US
Practice Address - Phone:866-801-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4301261QR0405X
324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility