Provider Demographics
NPI:1750668232
Name:EMERALD SOLUTIONS CORP
Entity Type:Organization
Organization Name:EMERALD SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-456-2306
Mailing Address - Street 1:5924 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3819
Mailing Address - Country:US
Mailing Address - Phone:818-456-2306
Mailing Address - Fax:
Practice Address - Street 1:5924 NORMANDY DR
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3819
Practice Address - Country:US
Practice Address - Phone:818-456-2306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health