Organization
MARYVILLE ACADEMY
Active
Other names
St. Dominic
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK SMITH (ADMINISTRATOR OF COMMUNITY SERVICES)
(847) 390-3004
Entity
Organization
Contact information
Practice address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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