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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
323P00000X
Psychiatric Residential Treatment Facility

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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