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
951 W BARTLETT RD, BARTLETT, IL 60103-4479
(630) 483-4560
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1910
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/07/2016
Last updated
07/08/2022
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