Maryville Academy

NPI #1427710722 in Berwyn, Illinois

Provider Information

NPI Number: 1427710722
Entity Type: Organization
Organization Name: Maryville Academy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 13, 2021
Last Updated: Jul 19, 2022

Practice Location

Address: ST. MARY OF CELLE
Address 2: 1431 EUCLID AVENUE
City: Berwyn
State: Illinois
ZIP Code: 60402
Phone: (630) 736-7480

Authorized Official

Name: NANCY Z WOULFE
Title: DIRECTOR OF BUSINESS DEVELOPMENT
Phone: (847) 294-1910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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