Organization
MARYVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAURA HARRINGTON (CONTROLLER)
(847) 294-1826
Entity
Organization
Contact information
Practice address
10102 FARM SCHOOL RD, DURAND, IL 61024-9725
(815) 599-3801
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
106103
IL
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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