| Exodus Recovery, Inc. | |
|
3520 E Shields Ave Rm 6 Fresno CA 93726-6923 | |
| (800) 654-3937 | |
| Not Available |
| Full Name | Exodus Recovery, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3520 E Shields Ave Rm 6, Fresno, California |
| Authorized Official Name and Position | Leeann Skorohod (COO) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Recovery, Inc. 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Recovery, Inc. 3520 E Shields Ave Rm 6 Fresno CA 93726-6923 Ph: (800) 654-3937 |
| NPI Number | 1235869504 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235869504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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