| NPI | 1144957010 |
|---|---|
| Other Name | MARYVILLE CRISIS NURSERY |
| Entity Type | Organization |
| Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-05-08 |