Avalon Stillware in New Brighton - Addiction (substance Use Disorder)
Avalon Stillware - NPI 1346454352
Avalon Stillware is a Addiction (substance Use Disorder) in New Brighton, Minnesota. Avalon Stillware practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Avalon Stillware is 1346454352. The last update date is 2020-08-22.
Avalon Stillware's current location address is 550 Main St, New Brighton, Minnesota. You can contact this provider via phone number 6123267555. The mailing address for Avalon Stillware is 550 Main St, New Brighton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avalon Stillware |
|---|---|
| Address | 550 Main St, New Brighton, Minnesota |
| Phone Number | 6123267555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Bundy Valerie |
| Telephone Number | 6123267555 |
NPI Number Detail
| NPI Number | 1346454352 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 550 Main St |
|---|---|
| City | New Brighton |
| State | Minnesota (MN) |
| Post Code | 551123271 |
| Phone Number | 6123267555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 830778 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code issued to Avalon Stillware by the Centers for Medicare & Medicaid Services?
The Avalon Stillware has been assigned the NPI (National Provider Identifier) 1346454352 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Avalon Stillware?
The Avalon Stillware is physically situated at 550 Main St, in the city of New Brighton, state of MN, with the postal code 551123271.
What is the Avalon Stillware's specialty and taxonomy code?
The Avalon Stillware's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did Avalon Stillware receive its 1346454352 assignment?
The Avalon Stillware was assigned its 1346454352 on 2007-05-09, which is the date when this unique identifier was issued to the organization.
When was the information regarding Avalon Stillware most recently updated?
The details pertaining to the Avalon Stillware, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.