# THE EXODUS 14/20 PSYCHOSOCIAL REHAB CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881911188
- **Authorized official:** MS. LA TONYA DELILAH WESTRICK BS/P CPRP (PSYCHOSOCIAL DIRECTOR)
- **Authorized official phone:** (505) 438-2000

## Contact information

- **Practice address:** 919 RIVERSIDE DRIVE, ESPANOLA, NM 87532
- **Practice address phone:** (505) 438-2000
- **Mailing address:** 6921 AIRPORT RD, \#1209, SANTA FE, NM 87507-1838
- **Mailing address phone:** (505) 438-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NM | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010