NPI 1164618534

Exxodus Foundation INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility New Orleans, LA

Practice location

Address: 21 English Turn Dr Suite a, New Orleans, LA 70131-3308
Phone: (504) 392-0272
Fax: (504) 392-0274

Authorised official

Name: Renea Anne Robertson
Title: Ceo., Pres., Executive Dir., Trust.
Phone: (504) 392-0272

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence LA0974029834 (LA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence LA9837472386 (LA)

Registry record

NPI: 1164618534
Entity type: Organization
NPI issued: 19 Sep 2007
Record last updated: 19 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.