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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