| The Emily Program | |
|
1476 Blazing Star Blvd Altoona WI 54720-2863 | |
| (888) 364-5977 | |
| Not Available |
| Full Name | The Emily Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1476 Blazing Star Blvd, Altoona, Wisconsin |
| Authorized Official Name and Position | Kate Norris (GENERAL COUNSEL) |
| Authorized Official Contact | 8663645977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Emily Program 1295 Bandana Blvd N Ste 210 Saint Paul MN 55108-5115 Ph: (866) 364-5977 | The Emily Program 1476 Blazing Star Blvd Altoona WI 54720-2863 Ph: (888) 364-5977 |
| NPI Number | 1386338184 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386338184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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