# MARYVILLE ACADEMY

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

## Provider details

- **NPI number:** 1477700474
- **Authorized official:** MISS MAURA HARRINGTON (CONTROLLER)
- **Authorized official phone:** (847) 294-1826

## Contact information

- **Practice address:** 10102 FARM SCHOOL RD, DURAND, IL 61024-9725
- **Practice address phone:** (815) 599-3801
- **Mailing address:** 1150 N RIVER RD, DES PLAINES, IL 60016-1214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 106103 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 08/20/2008