Healthcare Provider Details

I. General information

NPI: 1285399741
Provider Name (Legal Business Name): EXODUS BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021
Certification Date: 11/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WASHINGTON BLVD
BALTIMORE MD
21230-2350
US

IV. Provider business mailing address

700 WASHINGTON BLVD
BALTIMORE MD
21230-2350
US

V. Phone/Fax

Practice location:
  • Phone: 410-434-3434
  • Fax:
Mailing address:
  • Phone: 180-081-9757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES EXODUS APELSTEIN
Title or Position: OWNER
Credential:
Phone: 410-705-1000