EXODUS RECOVERY INC. NPI 1942665484

NPI Information

  • NPI: 1942665484
  • Provider Name: EXODUS RECOVERY, INC.
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Other Name: EXODUS PHF FRESNO
  • CLIA Number: 05D2284363
  • Address: 4411 E CESAR CHAVEZ BLVD
    FRESNO, CA
    ZIP 93702
  • Phone: (559) 453-5199

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NPI Details

EXODUS RECOVERY, INC. is a psychiatric hospital in Fresno, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. EXODUS RECOVERY, INC. NPI is 1942665484. The provider is registered as an organization entity type.
The provider Other Name Is Exodus Phf Fresno.

The provider's business location address is:

4411 E CESAR CHAVEZ BLVD
FRESNO, CA
ZIP 93702-604
Phone: (559) 453-5199

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 CLIA number assigned to this NPI record is 05D2284363 - other - crisis residential treatm with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 1/3/2025.

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
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P-042OTHERCALIFORNIAFACILITY NUMBER

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: 11/21/2025

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