| NPI | 1962063123 |
|---|---|
| Other Name | EXODUS RECOVERY NORTHEAST LA FSP PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LEEANN SKOROHOD COO 310-945-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-09-12 |