EXODUS RECOVERY INC. NPI 1851124259

NPI Information

  • NPI: 1851124259
  • Provider Name: EXODUS RECOVERY, INC.
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • :
  • Address: 1774 ZONAL AVE BLDG A
    LOS ANGELES, CA
    ZIP 90033
  • Phone: (213) 289-4100

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NPI Details

EXODUS RECOVERY, INC. is a community based residential treatment facility mental illness in Los Angeles, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EXODUS RECOVERY, INC. NPI is 1851124259. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1774 ZONAL AVE BLDG A
LOS ANGELES, CA
ZIP 90033-064
Phone: (213) 289-4100

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

The enumeration date for this NPI number is 8/21/2024 and was last updated on 4/15/2025.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

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This page was last updated on: 3/30/2025

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