Garden of Prayer Youth Center
NPI #1568867299 in Kankakee, Illinois
Provider Information
- NPI Number
- 1568867299
- Entity Type
- Organization
- Organization Name
- Garden of Prayer Youth Center
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 23, 2014
- Last Updated
- Oct 23, 2014
Practice Location
Authorized Official
- Name
- MICHAEL MALONEY, LCPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (815) 933-2493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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