NPI 1598961765

Divine Deliverance Counseling Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Waynesville, MO

Practice location

Address: 100 S Bates St, Waynesville, MO 65583-2146
Phone: (573) 774-5894
Fax: (573) 774-6975

Authorised official

Name: Clifton Junior Ruggs
Title: Director
Phone: (573) 774-5894

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 002680 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1598961765
Entity type: Organization
NPI issued: 25 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.