Avalon Programs, Llc in Eagan - Addiction (substance Use Disorder)
Avalon Programs, Llc - NPI 1164556544
Avalon Programs, Llc is a Addiction (substance Use Disorder) in Eagan, Minnesota. Avalon Programs, Llc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Avalon Programs, Llc is 1164556544. The last update date is 2018-04-12.
Avalon Programs, Llc's current location address is 3740 Washington Drive # 165, Eagan, Minnesota. You can contact this provider via phone number 6514542833 and fax number 6514542972. The mailing address for Avalon Programs, Llc is 3740 Washington Drive # 165, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Programs, Llc |
|---|---|
| Address | 3740 Washington Drive # 165, Eagan, Minnesota |
| Phone Number | 6514542833 |
| Fax Number | 6514542972 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR C |
|---|---|
| Authorized Official Name | Asper Marie Lisa |
| Credentials | MBA |
| Telephone Number | 6124542046 |
NPI Number Detail
| NPI Number | 1164556544 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2018-04-12 |
Provider Mailing Address Detail
| Address | 3740 Washington Drive # 165 |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 55122 |
| Phone Number | 6514542833 |
| Fax Number | 6514542972 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Avalon Programs, Llc's 1164556544?
The Avalon Programs, Llc's NPI (National Provider Identifier) Number is 1164556544. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Avalon Programs, Llc's physical address?
The Avalon Programs, Llc is physically located at 3740 Washington Drive # 165, in the city of Eagan, MN, with the postal code 55122.
What is the area of specialization for Avalon Programs, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Avalon Programs, Llc is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Avalon Programs, Llc receive its 1164556544 assignment from the Centers for Medicare & Medicaid Services?
The Avalon Programs, Llc was assigned its 1164556544 by the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the information related to Avalon Programs, Llc most recently updated or refreshed?
The details pertaining to the Avalon Programs, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-04-12.
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