Organization
AVALON PROGRAMS, LLC
Active
Other names
EOSIS AT EAGAN
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
3740 WASHINGTON DRIVE # 165, EAGAN, MN 55122
(651) 454-2833
(651) 454-2972
Mailing address
3470 WASHINGTON AVE SUITE 165, EAGAN, MN 55122
(612) 326-7600
(651) 631-3231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MN
Other
Enumeration date
03/15/2007
Last updated
02/21/2025
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