Maryville Academy
Clinic/Center, Adult Mental Health in Bartlett, IL. Organization (NPI-2).
NPI number1982154480
StatusActive
Last updated in NPPESJul 8, 2022
Details
- NPI
- 1982154480
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryville Academy
- Organization subpart
- No
- Enumeration date
- Oct 7, 2016
- Certification date
- Jul 8, 2022
- Last updated
- Jul 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Family Behavioral Health Clinic (Doing Business As)
Practice location
951 W Bartlett RdBartlett, IL 60103-4479
Phone 630-483-4560
Mailing address
1150 N River RdDes Plaines, IL 60016-1214
Phone 847-294-1910
Authorized official
Nancy Z Woulfe
Director Of Business Development
8472941910
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.