| NPI | 1124596291 |
|---|---|
| Other Name | EXODUS AB109 VISTA |
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD COO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-01-21 |