Organization
EXODUS PEER TO PEER RECOVERY CENTER
Active
Parent organization
B'SORAH HOUSING AND SOCIAL SERVICE AGENCY
Other names
Congregation Nevi'im Shavuot
Organization subpart
Yes
Provider details
NPI number
Legal business name
B'SORAH HOUSING AND SOCIAL SERVICE AGENCY
Authorized official
MS. LA TONYA DELILAH WESTRICK CPSW, PASTOR, FC (EXECUTIVE DIRECTOR)
(505) 819-9740
Entity
Organization
Contact information
Practice address
419 E MAIN ST, FARMINGTON, NM 87401-2707
(505) 819-9740
Mailing address
419 E. MAIN STREET, FARMINGTON, NM 87402
(505) 819-9740
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
NM
133NN1002X
Nutrition Education Nutritionist
—
NM
171M00000X
Case Manager/Care Coordinator
—
NM
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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