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Organization
DIVINE DELIVERANCE COUNSELING CENTER
Active
Organization
DIVINE DELIVERANCE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFTON JUNIOR RUGGS III D.MIN., LPC, CASAC (DIRECTOR)
(573) 774-5894
Entity
Organization
Contact information
Practice address
100 S BATES ST, WAYNESVILLE, MO 65583-2146
(573) 774-5894
(573) 774-6975
Mailing address
100 S BATES ST, WAYNESVILLE, MO 65583-2146
(573) 774-5894
(573) 774-6975
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
002680
MO
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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