Garden of Prayer Youth Center Incorporated
Garden of Prayer Youth Center Incorporated is a Mental Health Clinic/Center (Including Community Mental Health Center) in Momence, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
16601 E State Route 114Momence, IL 60954-3812
Phone: (815) 933-2493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1023611647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Maloney — Ceo, Executive Director · (815) 933-2493 |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | January 8, 2021 |
| Certification date | January 8, 2021 |
| Mailing address | 657 E Court St Ste 200, Kankakee, IL 60901-4071 |