| NPI | 1851124259 |
|---|---|
| Other Name | EXODUS CRTP AT LAC-USC |
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD COO/CFO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-04-15 |