# MARYVILLE ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306873419
- **Authorized official:** NANCY Z WOULFE (DIRECTOR OF BUSINESS DEVELOPMENT)
- **Authorized official phone:** (847) 294-1910

## Contact information

- **Practice address:** 555 WILSON LANE, MARYVILLE SCOTT NOLAN CENTER, DES PLAINES, IL 60016-4729
- **Practice address phone:** (847) 768-5461
- **Practice address fax:** (847) 768-5478
- **Mailing address:** 1150 N RIVER ROAD, DES PLAINES, IL 60016-1290
- **Mailing address phone:** (847) 294-1999
- **Mailing address fax:** (847) 294-2892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 07/08/2022