GARDEN OF PARYER YOUTH CENTER; NPI #1922383314

Contact Information

GARDEN OF PARYER YOUTH CENTER

657 E COURT ST
KANKAKEE, IL 60901-4055

Phone: 815-933-2493
Fax: 815-933-2494
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for GARDEN OF PARYER YOUTH CENTER

NPI # 1922383314

LBN Legal business name GARDEN OF PARYER YOUTH CENTER

Authorized official MICHAEL MALONEY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2011

Last updated 10/17/2011 - About 15 years ago

Identifiers

IL	License #	041-129-294
IL	License #	180-0007-145
IL	License #	180-006-235

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GARDEN OF PARYER YOUTH CENTER

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for GARDEN OF PARYER YOUTH CENTER

Reviews for GARDEN OF PARYER YOUTH CENTER