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EXODUS RECOVERY INC. NPI 1376146050


NPI Information

NPI: 1376146050
Provider Name: EXODUS RECOVERY, INC.

Other Name: AMHS EXODUS CRISIS RESIDENTIAL BE WELL ORANGE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2210340

Address:
265 S ANITA DR STE 201
ORANGE, CA
ZIP 92868
Phone: (714) 410-3505
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EXODUS RECOVERY, INC. is a community behavioral health in Orange, 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 1376146050. The provider is registered as an organization entity type.
The provider Other Name Is Amhs Exodus Crisis Residential Be Well Orange.

The provider's business location address is:

265 S ANITA DR STE 201
ORANGE, CA
ZIP 92868-346
Phone: (714) 410-3505
Fax: (714) 410-3529

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

The CLIA number assigned to this NPI record is 05D2210340 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 12/5/2020.


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: 11/14/2023

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