Deliverance Center Outreach Ministry for Christ

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DELIVERANCE CENTER OUTREACH MINISTRY FOR CHRIST

Doing business as

Cornerstone Community Behavioral Health

Practice address

3090 NW 7TH St
Fort Lauderdale, FL 33311-7612

Phone

(954) 807-8990

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Randolph Jones

Title

President

Phone

(954) 807-8990

Specialties & licenses 9

Addresses

Other names 1

• CORNERSTONE COMMUNITY BEHAVIORAL HEALTH Doing business as

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

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    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1881317659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 NW 4TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118570",
            "telephone_number": "954-807-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 NW 7TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117612",
            "telephone_number": "954-807-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE CENTER OUTREACH MINISTRY FOR CHRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-807-8990"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNERSTONE COMMUNITY BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Domingo Delgado-Garcia, MD
• Cypres Banuelos Delgado
• Ivan Delgado, ATC
• Alicia Delisser-Nuttal
• Siena Delisser, LMFT
• Una Della-Pietra, DO
• Changlena Delpe
• Naimah Delpeche, CD
• Dawn Marie Delplato, LCSW
• Delray Healthcare Associates 1 Inc (Waves Recovery)

• Community/Behavioral Health Agency in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.