Organization
AVALON PROGRAMS, LLC
Active
Other names
Avalon - Prospect Park
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LINDEMAN (DIRECTOR - REVENUE CYCLE MGMT)
(612) 326-7566
Entity
Organization
Contact information
Practice address
2800 UNIVERSITY AVE SE, SUITE 202, MINNEAPOLIS, MN 55414
(612) 638-2282
(612) 326-7642
Mailing address
550 MAIN ST, STE 230, NEW BRIGHTON, MN 55112
(612) 326-7600
(651) 631-3231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1016848
MN
324500000X
Substance Abuse Rehabilitation Facility
1016848-4-CDT
MN
Other
Enumeration date
03/15/2007
Last updated
12/10/2008
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