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Organization
MARYVILLE ACADEMY
Active
Organization
MARYVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY Z WOULFE (DIRECTOR OF BUSINESS DEVELOPMENT)
(847) 294-1910
Entity
Organization
Contact information
Practice address
555 WILSON LANE, MARYVILLE SCOTT NOLAN CENTER, DES PLAINES, IL 60016-4729
(847) 768-5461
(847) 768-5478
Mailing address
1150 N RIVER ROAD, DES PLAINES, IL 60016-1290
(847) 294-1999
(847) 294-2892
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/26/2006
Last updated
07/08/2022
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