| NPI | 1831434000 |
|---|---|
| Other Name | EXODUS RECOVERY AB109 |
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD Sr VP Operations 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-12-18 |