Exodus Recovery Services LLC.
Counselor, Addiction (Substance Use Disorder) in Harrisburg, OR. Organization (NPI-2).
NPI number1669092201
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1669092201
- Entity type
- Organization (NPI-2)
- Legal business name
- Exodus Recovery Services LLC.
- Organization subpart
- Yes
- Enumeration date
- Apr 23, 2020
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Exodus Behavioral Health Services (Doing Business As)
Practice location
230 N 3rd St Ste 105Harrisburg, OR 97446-9679
Phone 541-998-5660 · Fax 541-998-5678
Mailing address
230 N 3rd St Ste 105Harrisburg, OR 97446-9679
Phone 541-998-5660 · Fax 541-998-5678
Other practice locations
230 N 3rd St Ste 105
Harrisburg, OR 97446-9679
Harrisburg, OR 97446-9679
Phone 541-998-5660 · Fax 541-998-5678
Authorized official
Elizabeth Merritt
Executive Director
5419521719
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