The Exodus 14/20 Psychosocial Rehab Center
NPI #1881911188 in Espanola, New Mexico
Provider Information
- NPI Number
- 1881911188
- Entity Type
- Organization
- Organization Name
- The Exodus 14/20 Psychosocial Rehab Center
- Primary Specialty
- Counselor - Pastoral
- Enumeration Date
- Apr 26, 2010
- Last Updated
- Apr 26, 2010
Practice Location
- Address
- 919 RIVERSIDE DRIVE
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532
- Phone
- (505) 438-2000
Authorized Official
- Name
- MS. LA TONYA DELILAH WESTRICK, BS/P CPRP
- Title
- PSYCHOSOCIAL DIRECTOR
- Phone
- (505) 438-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Pastoral — Pastoral |
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