| The Exodus 14/20 Psychosocial Rehab Center | |
|
919 Riverside Drive Espanola NM 87532 | |
| (505) 438-2000 | |
| Not Available |
| Full Name | The Exodus 14/20 Psychosocial Rehab Center |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 919 Riverside Drive, Espanola, New Mexico |
| Authorized Official Name and Position | La Tonya Delilah Westrick (PSYCHOSOCIAL DIRECTOR) |
| Authorized Official Contact | 5054382000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Exodus 14/20 Psychosocial Rehab Center 6921 Airport Rd #1209 Santa Fe NM 87507-1838 Ph: (505) 438-2000 | The Exodus 14/20 Psychosocial Rehab Center 919 Riverside Drive Espanola NM 87532 Ph: (505) 438-2000 |
| NPI Number | 1881911188 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881911188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (New Mexico) | Primary |
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› Verified 8 days ago
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