Organization
EXODUS HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RAY WILKERSON (PRESIDENT)
(504) 891-7320
Entity
Organization
Contact information
Practice address
3000 LASALLE ST, NEW ORLEANS, LA 70115-5706
(504) 891-7320
(504) 891-7337
Mailing address
3000 LASALLE ST, 3012 NEWTONS CREST CIR, NEW ORLEANS, LA 70115-5706
(504) 891-7320
(504) 891-7337
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
01/27/2015
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