| Avalon Programs, Llc | |
|
550 Main St New Brighton MN 55112-3271 | |
| (612) 326-7555 | |
| Not Available |
| Full Name | Avalon Programs, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 550 Main St, New Brighton, Minnesota |
| Authorized Official Name and Position | Val Bundy (CONTROLLER) |
| Authorized Official Contact | 6123267555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Programs, Llc 550 Main St New Brighton MN 55112-3271 Ph: (612) 326-7555 | Avalon Programs, Llc 550 Main St New Brighton MN 55112-3271 Ph: (612) 326-7555 |
| NPI Number | 1992822134 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992822134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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