OrganizationActive
Faith Tabernacle World Outreach Inc
NPI 1417070210 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fredericktown, MO
Provider details
- NPI number
- 1417070210
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Deborah Booth, Clinical Director(573) 783-4400
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 001742092 (MO)
Residential Treatment Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Sargent Dr
Fredericktown, MO 63645-7526
Phone: (573) 783-4400
Fax: (573) 783-4409
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25
Fredricktown, MO 63645
Other names (DBA / former)
- Doing business as
- Faith Foundation Children'S Home
- Doing business as
- Faith Foundation Children'S Home
Registry dates
- Enumerated
- 2007-04-08
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.