MARYVILLE ACADEMY NPI 1821504788

NPI Information

NPI: 1821504788
Provider Name: MARYVILLE ACADEMY

Doing Business As: FAMILY BEHAVIORAL HEALTH CLINIC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1510 N CLAREMONT AVE
CHICAGO, IL
ZIP 60622
Phone: (312) 491-3509
Get Directions

MARYVILLE ACADEMY is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARYVILLE ACADEMY NPI is 1821504788. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Behavioral Health Clinic.

The provider's business location address is:

1510 N CLAREMONT AVE
CHICAGO, IL
ZIP 60622-710
Phone: (312) 491-3509
Fax: (312) 391-3531

The provider's authorized official is Nancy Z Woulfe .
The authorized official title is Director Of Business Development and has the following contact phone number (847) 294-1910.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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