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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