Organization
EXODUS RECOVERY, INC.
Active
Other names
Exodus Recovery, Inc - Eastside
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD (COO/CFO)
(310) 945-3350
Entity
Organization
Contact information
Practice address
1700 ZONAL AVE UNIT A, LOS ANGELES, CA 90033-1045
(323) 276-6400
(323) 276-6499
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
—
7796
—
CA
01
—
CP707A
MEDICARE PTAN
—
Enumeration date
09/29/2010
Last updated
03/04/2026
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