Organization
SHEMOT PSYCHOSOCIAL INTERVENTIONS
Active
Other names
Exodus Recovery Ministries, 4Corners Anti-Trafficking Multistate Crisis Intervention Network Task, God & Jesus Point of View TV Podcast, Shemot Psychosocial Interventions For Youth & Families
Organization subpart
No
Provider details
NPI number
Authorized official
LA TONYA DELILAH WESTRICK CPSW, CPS (CEO/PRESIDENT)
(505) 471-3000
Entity
Organization
Contact information
Practice address
1956 HOLLYHOCK CIR, FARMINGTON, NM 87401-2425
(505) 471-3000
Mailing address
1956 HOLLYHOCK CIR, FARMINGTON, NM 87401-2425
(505) 471-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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