The Exodus 14/20 Psychosocial Rehab Center

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

THE EXODUS 14/20 PSYCHOSOCIAL REHAB CENTER

Practice address

919 Riverside Drive
Espanola, NM 87532

Phone

(505) 438-2000

NPI assigned

Apr 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. La Tonya Delilah Westrick, BS/P CPRP

Title

Psychosocial Director

Phone

(505) 438-2000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1881911188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 AIRPORT RD",
            "address_2": "#1209",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071838",
            "telephone_number": "505-438-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 RIVERSIDE DRIVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "505-438-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXODUS 14/20 PSYCHOSOCIAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "WESTRICK",
        "authorized_official_first_name": "LA TONYA",
        "authorized_official_middle_name": "DELILAH",
        "authorized_official_title_or_position": "PSYCHOSOCIAL DIRECTOR",
        "authorized_official_telephone_number": "505-438-2000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS/P CPRP"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Talachy
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• Daphne L Thompson, BMS
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• Pastoral Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Pastoral Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.