| NPI | 1174815583 |
|---|---|
| Doing Business As | LAMB OF GOD RECOVERY CENTERS, INC. |
| Entity Type | Organization |
| Authorized Contact | LYLE R FRIED Director 863-467-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1947AD975000) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |