Organization
MARYVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY Z WOULFE (DIRECTOR OF BUSINESS DEVELOPMENT)
(847) 294-1910
Entity
Organization
Contact information
Practice address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 894-9514
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 894-9514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149011289
IL
Other
Enumeration date
03/16/2007
Last updated
07/08/2022
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