Organization
EMILY PROGRAM PC
Active
Other names
The Emily Program
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE NORRIS JD (GENERAL COUNSEL)
(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
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
(619) 587-9464
(651) 647-5135
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
10/11/2022
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