| Exodus Recovery Inc | |
|
1902 Marengo St Ste 200a Los Angeles CA 90033-1382 | |
| (323) 276-6465 | |
| (323) 276-8018 |
| Full Name | Exodus Recovery Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1902 Marengo St Ste 200a, Los Angeles, 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 Recovery Inc 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Recovery Inc 1902 Marengo St Ste 200a Los Angeles CA 90033-1382 Ph: (323) 276-6465 |
| NPI Number | 1205254950 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205254950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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