Organization
MARYVILLE ACADEMY
Active
Parent organization
MARYVILLE ACADEMY
Other names
Maryville
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
(630) 736-7485
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1910
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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