Maryville Madden Shelter

LBN: Maryville Academy
Maryville Madden Shelter is an health care organization with primary practice located at 1658 W Grand Ave , Chicago IL 60622-6309. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Maryville Academy can be contacted via phone (312) 491-3500, or through Woulfe, Nancy Z via phone (847) 294-1910.

Contact Information

Primary practice address
1658 W Grand Ave Chicago IL 60622-6309
Phone: (312) 491-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Woulfe, Nancy Z
Phone: (847) 294-1910

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1508174749
LBN Legal business name Maryville Academy
DBA Doing business as Maryville Madden Shelter
Authorized official Woulfe, Nancy Z
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2010
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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