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Organization
EMILY PROGRAM PC
Active
Organization
EMILY PROGRAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE NORRIS JD (GENERAL COUNSEL)
(888) 364-5977
Entity
Organization
Contact information
Practice address
8001 RAVINES EDGE CT, COLUMBUS, OH 43235-5423
(866) 364-5977
(614) 896-8223
Mailing address
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
(651) 645-5323
(651) 379-6105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2006
Last updated
01/31/2023
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