Organization
EXODUS RECOVERY SERVICES LLC.
Active
Parent organization
EXODUS RECOVERY SERVICES LLC
Other names
Exodus Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXODUS RECOVERY SERVICES LLC
Authorized official
ELIZABETH MERRITT QMHP-R, CADCIII (EXECUTIVE DIRECTOR)
(541) 952-1719
Entity
Organization
Contact information
Practice address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 998-5660
(541) 998-5678
Mailing address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 998-5660
(541) 998-5678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/23/2020
Last updated
09/01/2022
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