| Avalon Programs, Llc | |
|
3740 Washington Drive # 165 Eagan MN 55122 | |
| (651) 454-2833 | |
| (651) 454-2972 |
| Full Name | Avalon Programs, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3740 Washington Drive # 165, Eagan, Minnesota |
| Authorized Official Name and Position | Lewis P Zeidner (CEO) |
| Authorized Official Contact | 7632458278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Programs, Llc 3470 Washington Ave Suite 165 Eagan MN 55122 Ph: (612) 326-7600 | Avalon Programs, Llc 3740 Washington Drive # 165 Eagan MN 55122 Ph: (651) 454-2833 |
| NPI Number | 1164556544 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 02/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164556544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Minnesota) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (Minnesota) | Primary |
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