Faith Tabernacle World Outreach INC
NPI #1417070210 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1417070210
- Entity Type
- Organization
- Organization Name
- Faith Tabernacle World Outreach INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 8, 2007
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 600 SARGENT DR
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-7526
- Phone
- (573) 783-4400
Authorized Official
- Name
- MRS. DEBORAH JOY BOOTH, LPC
- Title
- CLINICAL DIRECTOR
- Phone
- (573) 783-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Residential Treatment Facility, Emotionally Disturbed Children |
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