Garden of Prayer Youth Center
Garden of Prayer Youth Center is a Case Management Agency in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1432 S 4th AveKankakee, IL 60901-4931
Phone: (815) 933-2493
Fax: (815) 933-2494
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 442707 (IL) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X (IL) |
Record details
| NPI number | 1184028342 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Maloney — Executive Director · (815) 933-2493 |
| NPI enumerated | October 17, 2014 |
| Last updated in NPPES | October 21, 2014 |
| Mailing address | 657 E Court St, Suite 200, Kankakee, IL 60901-4055 |