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
1476 BLAZING STAR BLVD, ALTOONA, WI 54720-2863
(888) 364-5977
Mailing address
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
(866) 364-5977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
05/30/2025
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