| Avalon Services Llc | |
|
37 Park St Ste 302 Lewiston ME 04240-7195 | |
| (207) 333-1080 | |
| (207) 777-4649 |
| Full Name | Avalon Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37 Park St Ste 302, Lewiston, Maine |
| Authorized Official Name and Position | Blaine Linton (OWNER) |
| Authorized Official Contact | 2074024890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Services Llc 37 Park St Ste 302 Lewiston ME 04240-7195 Ph: (207) 333-1080 | Avalon Services Llc 37 Park St Ste 302 Lewiston ME 04240-7195 Ph: (207) 333-1080 |
| NPI Number | 1659923068 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 02/06/2020 |
| Certification Date | 02/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659923068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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