Emily Program PC
NPI #1083906994 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1083906994
- Entity Type
- Organization
- Organization Name
- Emily Program PC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 11, 2011
- Last Updated
- Jan 22, 2021
Practice Location
- Address
- 2230 COMO AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55108-1720
- Phone
- (651) 645-5323
Authorized Official
- Name
- MR. DIRK A MILLER, PHD, LP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (651) 645-5323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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