Avalon Programs, LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Eagan, MN
NPI 1164556544 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1164556544
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- AVALON PROGRAMS, LLC
- Practice address
- 3740 Washington Drive # 165
Eagan, MN 55122 - Phone
- (651) 454-2833
- Fax
- (651) 454-2972
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Lewis P Zeidner, PHD
- Title
- Ceo
- Phone
- (763) 245-8278
Corporate family (same tax ID) 11
Practitioners 3
-
Laura G Arradondo, LADC
-
James Joseph Cavanaugh, LADC
-
Ernest William Lampe, M.D.
National Provider Directory
- Tax ID family
- Avalon Meridian Behavioral Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | MN | ||
| Substance Abuse Rehabilitation Facility | 324500000X | MN | Yes |
Addresses
Primary practice location
3740 Washington Drive # 165
Eagan, MN 55122
Mailing address
3470 Washington Ave Suite 165
Eagan, MN 55122
Phone (612) 326-7600
Other names
- EOSIS AT EAGAN
Other providers in Eagan, MN
- Assured Wellness LLC
- Jane Aufmuth
- Gretchen Augdahl
- Aurora Psychological Services LLC
- Avalon Eagan
- Mohamed Ahmed Aw-Dahir
- Ahlam Abdalla Awad
- Aware Integrated, Inc.
- Akinbowale Ayeni
- Abdul A Aziz
All providers in Eagan, MN · Substance Abuse Rehabilitation Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. 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.