| Exodus Fresno Phf | |
|
4411 E Kings Canyon Rd Fresno CA 93702-3604 | |
| (559) 453-1008 | |
| (559) 453-2805 |
| Full Name | Exodus Fresno Phf |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4411 E Kings Canyon Rd, Fresno, California |
| Authorized Official Name and Position | Leeann Skorohod (COO/CFO) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Fresno Phf 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Fresno Phf 4411 E Kings Canyon Rd Fresno CA 93702-3604 Ph: (559) 453-1008 |
| NPI Number | 1851787188 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851787188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 771162 (Minnesota) | Primary |
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