Organization
THE LODGE RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TICHY (PRESIDENT)
(561) 945-7560
Entity
Organization
Contact information
Practice address
2542 BESSIE ST, DELRAY BEACH, FL 33444-2106
(561) 945-7560
Mailing address
PO BOX 7004, DELRAY BEACH, FL 33482-7004
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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