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Organization
EMILY PROGRAM P C
Active
Organization
EMILY PROGRAM P C
Active
Other names
The Emily Program
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH TRUDGEON (CREDENTIALING MANAGER)
(888) 364-5977
Entity
Organization
Contact information
Practice address
2265 COMO AVENUE, SUITE 100, ST PAUL, MN 55108
(866) 364-5977
(651) 647-5135
Mailing address
2355 HIGHWAY 36 W STE 202, ROSEVILLE, MN 55113-3902
(888) 364-5977
(844) 385-4629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2006
Last updated
06/18/2026
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