Organization
DIVINE YOUTH WELLNESS CENTRE, LLC
Active
Other names
Children's Therapeutic Centre, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAJUANA JONES LCSW (OWNER)
(314) 643-6621
Entity
Organization
Contact information
Practice address
6506 WRIGHT WAY, SAINT LOUIS, MO 63121-3209
(314) 643-6621
Mailing address
6506 WRIGHT WAY, SAINT LOUIS, MO 63121-3209
(314) 643-6621
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
09/11/2025
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