NPI 1558391656

Maryville Academy

Organisation Psychiatric Residential Treatment Facility Des Plaines, IL

Practice location

Address: 555 Wilson Ln, Des Plaines, IL 60016-4729
Phone: (847) 768-5461
Fax: (847) 768-5478
Mailing address: 1150 N River Rd, Des Plaines, IL 60016-1214

Authorised official

Name: Nancy Z Woulfe
Title: Director of Business Development
Phone: (847) 294-1910

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 240521-04 (IL)

Other Psychiatric Residential Treatment Facility providers in Illinois →

Registry record

NPI: 1558391656
Entity type: Organization
NPI issued: 4 Jul 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.