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Organization
MARYVILLE ACADEMY
Active
Organization
MARYVILLE ACADEMY
Active
Parent organization
MARYVILLE ACADEMY
Other names
Casa Salama, Maryville Casa Salama
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARYVILLE ACADEMY
Authorized official
MR. FREDERICK SMITH (ADMINISTRATOR OF COMMUNITY SERVICES)
(847) 390-3004
Entity
Organization
Contact information
Practice address
951 W BARTLETT RD, BARTLETT, IL 60103-4479
(630) 736-7450
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1910
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
—
NULL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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