Organization
EXODUS RECOVERY INC.
Active
Other names
PEJ Exodus Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD (CFO)
(310) 945-3350
Entity
Organization
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD STE 525, LYNWOOD, CA 90262-3535
(310) 733-7981
(323) 312-0188
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
—
7774A
—
CA
Enumeration date
06/18/2009
Last updated
09/07/2023
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