Organization
THE EXODUS 14/20 PSYCHOSOCIAL REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA TONYA DELILAH WESTRICK BS/P CPRP (PSYCHOSOCIAL DIRECTOR)
(505) 438-2000
Entity
Organization
Contact information
Practice address
919 RIVERSIDE DRIVE, ESPANOLA, NM 87532
(505) 438-2000
Mailing address
6921 AIRPORT RD, #1209, SANTA FE, NM 87507-1838
(505) 438-2000
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NM
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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