Avalon Programs, LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Aitkin, MN
NPI 1144354531 · NPPES record last updated Sep 15, 2008
Key facts
- NPI
- 1144354531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1034492 (MN)
- Legal business name
- AVALON PROGRAMS, LLC
- Practice address
- 3 3Rd Street NE
Aitkin, MN 56431 - Phone
- (218) 927-6417
- Fax
- (218) 927-6723
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Paul Lindeman
- Title
- Director - Revenue Cycle MGMT
- Phone
- (612) 326-7566
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Avalon Meridian Behavioral Health
Locations
3 3rd St NE
Aitkin, MN 56431
Phone (218) 927-2541
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1034492 | MN | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X | 1034492-2-CDT | MN |
Addresses
Primary practice location
3 3Rd Street NE
Aitkin, MN 56431
Mailing address
550 Main St
Ste 230
New Brighton, MN 55112-3271
Phone (612) 326-7600
Other names
- Avalon - Aitkin
Other providers in Aitkin, MN
- Aitkin Health Services
- Aitkin Pharmacy Services, LLC
- Anchor Medical LLC
- Timothy J Arnold
- Syed W Askari
- Bares Bootery, Inc.
- Janet Barnick
- Robert Beal
- Linda Sue Benson
- Kirstiane N Bilyeu
All providers in Aitkin, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.