Organization
AVALON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA PAYNE (EXECUTIVE SECRETARY)
(254) 859-5990
Entity
Organization
Contact information
Practice address
480 HIGHWAY 7, EDDY, TX 76524-2448
(254) 859-5990
(254) 859-5188
Mailing address
480 HIGHWAY 7, EDDY, TX 76524-2448
(254) 859-5990
(254) 859-5188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
172232401
TX
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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