Garden of Prayer Youth Center

NPI #1184028342 in Kankakee, Illinois

Provider Information

NPI Number
1184028342
Entity Type
Organization
Organization Name
Garden of Prayer Youth Center
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 17, 2014
Last Updated
Oct 21, 2014

Practice Location

Address
1432 S 4TH AVE
ZIP Code
60901-4931
Phone
(815) 933-2493

Authorized Official

Name
MICHAEL A MALONEY, LCPC
Title
EXECUTIVE DIRECTOR
Phone
(815) 933-2493

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health

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