# EMQ

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144392416
- **Authorized official:** MR. CARLOS AGUILA (CLINICAL PROGRAM MANAGER)
- **Authorized official phone:** (408) 379-9085

## Contact information

- **Practice address:** 251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
- **Practice address phone:** (408) 379-3790
- **Mailing address:** 4389 BLOOMFIELD DR, SAN JOSE, CA 95124-4743
- **Mailing address phone:** (408) 723-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MFT36007 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020