NPI 1306873419
Maryville Academy
Practice location
- Address
- 555 Wilson Lane Maryville Scott Nolan Center, Des Plaines, IL 60016-4729
- Phone
- (847) 768-5461
- Fax
- (847) 768-5478
- Mailing address
- 1150 N River Road, Des Plaines, IL 60016-1290
Authorised official
- Name
- Nancy Z Woulfe
- Title
- Director of Business Development
- Phone
- (847) 294-1910
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1306873419
- Entity type
- Organization
- NPI issued
- 26 Jun 2006
- Record last updated
- 8 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.