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EXODUS UCC AT MLK
NPI 1114418928
Community/Behavioral Health in Los Angeles, CA

Active since May 29, 2018
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059(562) 295-4617(562) 295-4665 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Exodus Ucc At Mlk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXODUS UCC AT MLK (NPI 1114418928) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since May 2018. The organization lists Leeann Skorohod, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114418928
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEXODUS RECOVERY, INC.
Location Address12021 WILMINGTON AVE BLDG 18Los Angeles, CA 90059-3019
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3355
Phone(562) 295-4617
Fax(562) 295-4665
Organization SubpartNo
Authorized OfficialLeeann SkorohodCfo · (310) 945-3350
Enumeration DateMay 29, 2018
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1114418928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

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.

12021 WILMINGTON AVE BLDG 18, Los Angeles, CA 90059
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Other Names 1

Other NameExodus Ucc At Mlk

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA WHITE FUQUAY
Community Health Worker
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5000
DUKE MARKO DIAZ NAVERA
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 952-5153
BRENDA ESPINOZA
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 444-9050
HOLLY HENDERSON
Day Training/Habilitation Specialist
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (626) 644-0084
DAVID NEGRETE HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-6001
JENNIFER PINEDA
Behavior Technician
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5530
NDIDIAMAKA AMADI LVN
Licensed Vocational Nurse
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (424) 454-5470
JEREMY T PICON CADC II
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE BLDG 18
LOS ANGELES, CA 90059
Los Angeles County (213) 965-6421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Exodus Recovery, Inc.'s NPI number?

The NPI number for Exodus Recovery, Inc. is 1114418928. It was assigned to this organization in the NPPES registry on May 29, 2018. The provider is also known as Exodus Ucc At Mlk.

Where is Exodus Recovery, Inc. located?

Exodus Recovery, Inc. is located at 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059. The listed phone number is (562) 295-4617.

What is Exodus Recovery, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Exodus Recovery, Inc. was last updated on November 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.