Organization · Type 2 NPI
Maryville Academy
Emotionally Disturbed Childrens' Residential Treatment Facility · Durand, IL
Practice location
10102 Farm School Rd
Durand, IL 61024-9725
Mailing address
1150 N River Rd
Des Plaines, IL 60016-1214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 106103 (IL) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1477700474
Maryville Academy's National Provider Identifier is 1477700474, issued on Aug 20, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Durand, IL. The record was last updated on Aug 20, 2008.