Organization
EXODUS RECOVERY INC
Active
Other names
Exodus Recovery Northeast LA FSP Program
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN SKOROHOD (COO)
(310) 945-3350
Entity
Organization
Contact information
Practice address
1902 MARENGO ST STE 200B, LOS ANGELES, CA 90033-1382
(323) 276-6490
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
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
Enumeration date
06/27/2019
Last updated
09/12/2024
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