Organization
EXODUS FOUNDATION
Active
Other names
Exodus Foundation for Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD (SR VP OPERATIONS)
(310) 945-3350
Entity
Organization
Contact information
Practice address
12021 S WILMINGTON AVE, 2ND FLOOR IC1-IC7, LOS ANGELES, CA 90059-3019
(562) 295-5916
(562) 295-5965
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(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
—
7890
—
CA
Enumeration date
09/12/2014
Last updated
12/21/2016
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