| Exodus Recovery, Inc - Op | |
|
10811 Washington Blvd Ste 300 Culver City CA 90232-3619 | |
| (424) 342-6900 | |
| (562) 999-5566 |
| Full Name | Exodus Recovery, Inc - Op |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10811 Washington Blvd Ste 300, 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 - Op 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Recovery, Inc - Op 10811 Washington Blvd Ste 300 Culver City CA 90232-3619 Ph: (424) 342-6900 |
| NPI Number | 1770623241 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770623241 | NPI | - | NPPES |
| 7646 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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