| Avalon Center | |
|
22 N Georgia Ave Suite #102 Mason City IA 50401-3435 | |
| (641) 422-0070 | |
| (641) 422-0060 |
| Full Name | Avalon Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 N Georgia Ave, Mason City, Iowa |
| Authorized Official Name and Position | Leah Jean Weber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6414220070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Center 22 N Georgia Ave Suite #102 Mason City IA 50401-3435 Ph: (641) 422-0070 | Avalon Center 22 N Georgia Ave Suite #102 Mason City IA 50401-3435 Ph: (641) 422-0070 |
| NPI Number | 1003969148 |
|---|---|
| Provider Enumeration Date | 01/20/2007 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003969148 | NPI | - | NPPES |
| 1012138 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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