NPI 1083906994
Emily Program PC
Practice location
- Address
- 2230 Como Ave, Saint Paul, MN 55108-1720
- Phone
- (651) 645-5323
- Mailing address
- 2265 Como Ave, Saint Paul, MN 55108-1737
Authorised official
- Name
- Dirk a Miller
- Title
- Executive Director
- Phone
- (651) 645-5323
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1083906994
- Entity type
- Organization
- NPI issued
- 11 May 2011
- Record last updated
- 22 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.