Family Behavioral Health Clinic

LBN: Maryville Academy
Family Behavioral Health Clinic is an health care organization with primary practice located at 701 Lee St Ste 100 , Des Plaines IL 60016-4543. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Maryville Academy can be contacted via phone (847) 390-3004, or through Ryan, Sr. Catherine M via phone (847) 294-1893.

Contact Information

Primary practice address
701 Lee St Ste 100 Des Plaines IL 60016-4543
Phone: (847) 390-3004
Fax: (847) 390-3016
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Sr. Catherine M
Phone: (847) 294-1893

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X IL
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1467909275
LBN Legal business name Maryville Academy
DBA Doing business as Family Behavioral Health Clinic
Authorized official Ryan, Sr. Catherine M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2016
Last updated Jul 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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