| House Of Prayer Christian Academy | |
|
5501 N Park Dr East Saint Louis IL 62204-2121 | |
| (618) 274-3850 | |
| Not Available |
| Full Name | House Of Prayer Christian Academy |
|---|---|
| Speciality | Counselor |
| Location | 5501 N Park Dr, East Saint Louis, Illinois |
| Authorized Official Name and Position | Anthony Dewayne Pettiford (CEO) |
| Authorized Official Contact | 6182743850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Prayer Christian Academy 5501 N Park Dr East Saint Louis IL 62204-2121 Ph: (618) 274-3850 | House Of Prayer Christian Academy 5501 N Park Dr East Saint Louis IL 62204-2121 Ph: (618) 274-3850 |
| NPI Number | 1700155595 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700155595 | NPI | - | NPPES |
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