| Exodus Recovery, Inc. | |
|
9808 Venice Blvd Suite 702 Culver City CA 90232-2732 | |
| (310) 280-7006 | |
| (310) 840-7023 |
| Full Name | Exodus Recovery, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9808 Venice Blvd, Culver City, California |
| Authorized Official Name and Position | Leeann Skorohod (SR VP, OPERATIONS) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Recovery, Inc. 9808 Venice Blvd Suite 702 Culver City CA 90232-2732 Ph: (310) 280-7006 | Exodus Recovery, Inc. 9808 Venice Blvd Suite 702 Culver City CA 90232-2732 Ph: (310) 280-7006 |
| NPI Number | 1164660528 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164660528 | NPI | - | NPPES |
| C1432551 | Other | CA | CORPORATION ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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