Organization
AVALON PROGRAMS, LLC
Active
Other names
EOSIS
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
550 MAIN STREET, SUITE 240, NEW BRIGHTON, MN 55112
(651) 647-0095
Mailing address
550 MAIN ST STE 230, NEW BRIGHTON, MN 55112-3274
(612) 326-7600
(612) 454-2178
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1047590
MN
Other
Enumeration date
12/22/2015
Last updated
02/21/2025
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