Organization
AVALON PROGRAMS LLC
Active
Other names
Avalon - Pine City add Avalon - Stureon Lake to this NPI number
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA A WINSOR (TREATMENT DIRECTOR)
(612) 916-4876
Entity
Organization
Contact information
Practice address
34079 LAKETOWN ROAD, SUITE #7, STURGEON LAKE, MN 55783
(218) 372-8000
(218) 372-8002
Mailing address
550 MAIN STREET, SUITE 230, NEW BRIGHTON, MN 55112
(612) 326-7600
(612) 631-3231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1034226
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1054088-1-CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
1034226-2-CDT
MN
Other
Enumeration date
03/15/2007
Last updated
07/15/2009
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