Organization
EXODUS RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD (COO)
(310) 945-3350
Entity
Organization
Contact information
Practice address
8401 S VERMONT AVE, LOS ANGELES, CA 90044-3423
(323) 789-6492
(323) 967-0180
Mailing address
8401 S VERMONT AVE, LOS ANGELES, CA 90044-3423
(323) 789-6492
(323) 967-0180
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7385A
—
CA
Enumeration date
05/24/2007
Last updated
03/03/2022
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