Organization
EXODUS RECOVERY, INC.
Active
Other names
Exodus Central Connections
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANN SKOROHOD (SR VP OPERATIONS)
(310) 945-3350
Entity
Organization
Contact information
Practice address
4308 30TH ST, SUITE A, SAN DIEGO, CA 92104-1314
(310) 945-3350
Mailing address
9808 VENICE BLVD, SUITE 700, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 840-7023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3220
—
CA
Enumeration date
12/22/2009
Last updated
07/12/2013
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