EXODUS RECOVERY INC. NPI 1831434000

NPI Details

EXODUS RECOVERY, INC. is a community behavioral health in San Diego, 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 1831434000. The provider is registered as an organization entity type.
The provider Other Name Is Exodus Recovery Ab109.

The provider's business location address is:

2950 EL CAJON BLVD
SUITE 4
SAN DIEGO, CA
ZIP 92104-205
Phone: (310) 945-3350
Fax: (310) 840-7023

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

The CLIA number assigned to this NPI record is 05D2214019 - other - crisis stab ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2012 and was last updated on 12/18/2012.

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: