| NPI | 1558391656 |
|---|---|
| Other Name | MARYVILLE SCOTT NOLAN |
| Entity Type | Organization |
| Authorized Contact | NANCY Z WOULFE Director Of Business Development 847-294-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 240521-04) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-07-08 |