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Organization
GARDEN OF PRAYER YOUTH CENTER
Active
Organization
GARDEN OF PRAYER YOUTH CENTER
Active
Other names
GOPYC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKAL HARRIS MA, LCPC (CLINICAL DIVISION DIRECTOR)
(815) 933-2493
Entity
Organization
Contact information
Practice address
101 SOUTH DIVISION, AROMA PARK, IL 60910-6009
(815) 933-2493
(815) 933-2494
Mailing address
657 E COURT ST STE 200, KANKAKEE, IL 60901-4071
(815) 933-2493
(815) 933-2494
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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