Organization · Type 2 NPI

Emily Program PC

Mental Illness Community Based Residential Treatment Facility · St. Paul, MN

NPI number 1083906994 Active

Practice location

2230 Como Ave
St. Paul, MN 55108-1720

Call (651) 645-5323 Map

Mailing address

2265 Como Ave
St. Paul, MN 55108-1737

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

44 other providers at this address

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NPI record

NPI: 1083906994
Entity type: Organization (Type 2)
Issued: May 11, 2011
Last updated: Jan 22, 2021
Status: Active

Other names

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The Emily Program · doing business as
The Emily Program · doing business as

Authorized official

Mr. Dirk A Miller, PhD, LP
Executive Director
(651) 645-5323

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About NPI 1083906994

Emily Program PC's National Provider Identifier is 1083906994, issued on May 11, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 22, 2021.