Organization
EXODUS RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD CHC (SR VP, OPERATIONS)
(310) 945-3350
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, SUITE 702, CULVER CITY, CA 90232-2732
(310) 280-7006
(310) 840-7023
Mailing address
9808 VENICE BLVD, SUITE 702, CULVER CITY, CA 90232-2732
(310) 280-7006
(310) 840-7023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1432551
CORPORATION ID#
CA
Enumeration date
01/23/2009
Last updated
02/27/2009
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