Organization
AVALON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH JEAN WEBER LBSW, CADC, MA (EXECUTIVE DIRECTOR)
(641) 422-0070
Entity
Organization
Contact information
Practice address
22 N GEORGIA AVE, SUITE #102, MASON CITY, IA 50401-3435
(641) 422-0070
(641) 422-0060
Mailing address
22 N GEORGIA AVE, SUITE #102, MASON CITY, IA 50401-3435
(641) 422-0070
(641) 422-0060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012138
—
IA
Enumeration date
01/20/2007
Last updated
01/04/2011
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