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EXODUS RECOVERY SERVICES LLC. NPI 1669092201


NPI Information

NPI: 1669092201
Provider Name: EXODUS RECOVERY SERVICES LLC.

Doing Business As: EXODUS BEHAVIORAL HEALTH SERVICES

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
230 N 3RD ST STE 105
HARRISBURG, OR
ZIP 97446
Phone: (541) 998-5660
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EXODUS RECOVERY SERVICES LLC. is an addiction (substance use disorder) counselor in Harrisburg, OR. EXODUS RECOVERY SERVICES LLC. NPI is 1669092201. The provider is registered as an organization entity type.
The provider Is Doing Business As Exodus Behavioral Health Services.

The provider's business location address is:

230 N 3RD ST STE 105
HARRISBURG, OR
ZIP 97446-679
Phone: (541) 998-5660
Fax: (541) 998-5678

The provider's authorized official is Elizabeth Merritt .
The authorized official title is Executive Director and has the following contact phone number (541) 952-1719.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 9/1/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 5/5/2024

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