Organization
EMILY PROGRAM PC
Active
Organization
EMILY PROGRAM PC
Active
Other names
The Emily Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIRK A MILLER PHD, LP (EXECUTIVE DIRECTOR)
(651) 645-5323
Entity
Organization
Contact information
Practice address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
(651) 645-5323
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
01/22/2021
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