Organization
EMILY PROGRAM PC
Active
Organization
EMILY PROGRAM PC
Active
Other names
The Emily Program
Organization subpart
No
Provider details
NPI number
Authorized official
MEREDITH TRUDGEON (CREDENTIALING MANAGER)
(919) 767-0274
Entity
Organization
Contact information
Practice address
50 PENNWOOD PL, WARRENDALE, PA 15086
(888) 364-5977
Mailing address
1295 BANDANA BLVD. W.,, SUITE 210, ST. PAUL, MN 55108-5338
(866) 364-5977
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/10/2015
Last updated
08/04/2025
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