Avalon Programs, LLC

Organization Active NPI Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI 1992822134 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992822134
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Legal business name
AVALON PROGRAMS, LLC
Practice address
550 Main St
New Brighton, MN 55112-3271
Phone
(612) 326-7555
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
Val Bundy
Title
Controller
Phone
(612) 326-7555

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: 193400000X SINGLE SPECIALTY GROUP
101YA0400X Yes

Addresses

Primary practice location

550 Main St
New Brighton, MN 55112-3271

Mailing address

550 Main St
New Brighton, MN 55112-3271
Phone (612) 326-7555

Other providers in New Brighton, MN

All providers in New Brighton, MN · Addiction (Substance Use Disorder) Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.