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Maryville Academy
Substance Use Disorder Rehabilitation Clinic/Center in Des Plaines, Illinois
NPI 1467909275

Maryville Academy is a Substance Use Disorder Rehabilitation Clinic/Center based in Des Plaines, IL and is specialized in Rehabilitation, Substance Use Disorder. Maryville Academy practices in Des Plaines, IL. The NPI Number for Maryville Academy is 1467909275 and holds a License No. (Illinois).

The current practice location address for Maryville Academy is 701 Lee St Ste 100, Des Plaines, IL and can be reached out via phone at 847-390-3004 and via fax at 847-390-3016.

Location: 701 Lee St Ste 100, Des Plaines, IL, 60016-4543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467909275
Provider Name
Maryville Academy
Credential
Provider Entity Type
Organization
Address
701 Lee St Ste 100, Des Plaines, IL, 60016-4543
Phone Number
847-390-3004
Fax Number
847-390-3016
Provider Enumeration Date
09/09/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
701 Lee St Ste 100
City
Des Plaines
State
Illinois
Zip
60016-4543
Phone Number
847-390-3004
Fax Number
847-390-3016
person
Provider Business Mailing Address Details
Address
701 Lee St Ste 100
City
Des Plaines
State
Illinois
Zip
60016-4543
Phone Number
847-390-3004
Fax Number
847-390-3016
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
IL ()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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