Maryville Academy

NPI #1003341058 in Chicago, Illinois

Provider Information

NPI Number
1003341058
Entity Type
Organization
Organization Name
Maryville Academy
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Apr 27, 2017
Last Updated
Jun 11, 2025

Practice Location

Address
1658 W GRAND AVE
ZIP Code
60622-6309
Phone
(312) 491-3530

Authorized Official

Name
FREDERICK SMITH
Title
ADMINISTRATOR OF COMMUNITY SERVICES
Phone
(847) 390-3004

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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