Organization
MARYVILLE ACADEMY
Active
Other names
Family Behavioral Health Clinic
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
1658 W GRAND AVE, CHICAGO, IL 60622-6309
(312) 491-3530
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/08/2016
Last updated
07/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us