Organization
GARDEN OF PRAYER YOUTH CENTER
Active
Organization
GARDEN OF PRAYER YOUTH CENTER
Active
Other names
Garden of Prayer Early Education & Intervention Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MALONEY LCPC (EXECUTIVE DIRECTOR)
(815) 933-2493
Entity
Organization
Contact information
Practice address
381 S 4TH AVE, KANKAKEE, IL 60901-3607
(815) 401-5671
(815) 401-5726
Mailing address
657 E COURT ST, SUITE 200, KANKAKEE, IL 60901-4055
(815) 933-2493
(815) 933-2494
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
442707
IL
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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