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EXODUS RECOVERY INC. NPI 1114418928


NPI Information

NPI: 1114418928
Provider Name: EXODUS RECOVERY, INC.

Other Name: EXODUS UCC AT MLK

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA
ZIP 90059
Phone: (562) 295-4617
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EXODUS RECOVERY, INC. is a community behavioral health in Los Angeles, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. EXODUS RECOVERY, INC. NPI is 1114418928. The provider is registered as an organization entity type.
The provider Other Name Is Exodus Ucc At Mlk.

The provider's business location address is:

12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA
ZIP 90059-019
Phone: (562) 295-4617
Fax: (562) 295-4665

The provider's authorized official is Leeann Skorohod .
The authorized official title is Cfo and has the following contact phone number (310) 945-3350.

The enumeration date for this NPI number is 5/29/2018 and was last updated on 11/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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