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Avalon Programs, LLC

Organization Active NPI Substance Abuse Rehabilitation Facility · Stillwater, MN

NPI 1871627232 · NPPES record last updated Apr 3, 2019

Key facts

NPI
1871627232
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
8307783CDT (MN)
Legal business name
AVALON PROGRAMS, LLC
Practice address
1825 Curve Crest Blvd West
Suite 103
Stillwater, MN 55082
Phone
(651) 351-9325
Fax
(651) 351-0162
NPI assigned
Mar 15, 2007
Organization subpart
No

Authorized official

Name
Lisa Marie Asper, MBA
Title
Director Contract, Cred, and Payer
Phone
(612) 454-2046

Corporate family (same tax ID) 11

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Avalon Meridian Behavioral Health (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YA0400X MN
Substance Abuse Rehabilitation Facility 324500000X 8307783CDT MN Yes

Addresses

Primary practice location

1825 Curve Crest Blvd West
Suite 103
Stillwater, MN 55082

Mailing address

550 Main Street
Suite 230
New Brighton, MN 55112
Phone (612) 326-7600

Other names

  • New Beginnings Minnesota at Stillwater Doing business as
  • New Beginnings at Stillwater Doing business as

Other providers in Stillwater, MN

All providers in Stillwater, MN · Substance Abuse Rehabilitation Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.