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EXODUS MLK ICC CTT
NPI 1740771559
Community/Behavioral Health in Los Angeles, CA

Active since May 29, 2018
12021 S WILMINGTON AVE BLDG 18 STE 100, ROOMS 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129, LOS ANGELES, CA 90059(562) 295-5916(562) 295-5965 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Exodus Mlk Icc Ctt NPPES

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

EXODUS MLK ICC CTT (NPI 1740771559) 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, Coo, as its authorized official.

NPPES Registry Identity

NPI1740771559
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEXODUS RECOVERY, INC.
Location Address12021 S WILMINGTON AVE BLDG 18 STE 100, ROOMS 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129Los Angeles, CA 90059-3019
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3355
Phone(562) 295-5916
Fax(562) 295-5965
Organization SubpartNo
Authorized OfficialLeeann SkorohodCoo · (310) 945-3350
Enumeration DateMay 29, 2018
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1740771559 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 S WILMINGTON AVE BLDG 18 STE 100, Los Angeles, CA 90059
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Other Names 1

Other NameExodus Mlk Icc Ctt

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 1740771559. It was assigned to this organization in the NPPES registry on May 29, 2018. The provider is also known as Exodus Mlk Icc Ctt.

Where is Exodus Recovery, Inc. located?

Exodus Recovery, Inc. is located at 12021 S Wilmington Ave Bldg 18 Ste 100 Rooms 1106, 1109, 1113, 1115, 1116, 1119, 1125, 1129, Los Angeles, CA 90059. The listed phone number is (562) 295-5916.

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 April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.