Deliverance Temple Minitries Roots Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DELIVERANCE TEMPLE MINITRIES ROOTS INC.

Practice address

392 Franklin Ave
Aliquippa, PA 15001-3708

Phone

(724) 203-4669

Fax

(724) 788-1326

NPI assigned

Jan 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Selenna Geraldine Moreland

Title

Director

Phone

(724) 203-4669

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1588960330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013708",
            "telephone_number": "724-203-4669",
            "fax_number": "724-788-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 FRANKLIN AVE",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150013708",
            "telephone_number": "724-203-4669",
            "fax_number": "724-788-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE TEMPLE MINITRIES ROOTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "SELENNA",
        "authorized_official_middle_name": "GERALDINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-203-4669"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Davis, LSW
• Daniel Decker, RN
• Samantha-Jo Deitrick, MA, LBS, NCC
• Joseph P Dejonckheere, MD
• Cassandra Delisio, RN
• Devin G Depner, OD
• Christopher Dericks
• Sanjit Kaur Dhaliwal, MD
• Benjamin L Diequez, RN
• Melissa Christine Donohue, MSW, LCSW

• Community/Behavioral Health Agency in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.