Organization
AVALON PROGRAMS, LLC
Active
Parent organization
AVALON PROGRAMS LLC
Other names
EOSIS AT MINNETONKA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVALON PROGRAMS LLC
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
11900 WAYZATA BLVD, SUITE 100, MINNETONKA, MN 55305-2031
(612) 454-2012
Mailing address
550 MAIN ST STE 190, SAINT PAUL, MN 55112-3271
(612) 454-2046
(952) 679-5471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1065949
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
1065949
MN
Other
Enumeration date
06/27/2013
Last updated
02/21/2025
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