Avalon - Cottage Grove | |
7501 80th Street South Suite 102 Cottage Grove MN 55016 | |
(651) 458-3757 | |
(651) 458-3756 |
Full Name | Avalon - Cottage Grove |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 7501 80th Street South, Cottage Grove, Minnesota |
Authorized Official Name and Position | Paul Lindeman (DIRECTOR REVENUE CYCLE MGMT) |
Authorized Official Contact | 6123267566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avalon - Cottage Grove 550 Main Street Suite 230 New Brighton MN 55112 Ph: (612) 326-7600 | Avalon - Cottage Grove 7501 80th Street South Suite 102 Cottage Grove MN 55016 Ph: (651) 458-3757 |
NPI Number | 1538293915 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 09/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538293915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | 8009954CDT (Minnesota) | Primary |
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