Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1154455533 |
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| LBN Legal business name | AVALON PROGRAMS, LLC | ||||||||
| Authorized official | PAUL LINDEMAN - (DIRECTOR-REVENUE CYCLE MGMT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 03/15/2007 | ||||||||
| Last updated | 09/15/2008 - About 18 years ago | ||||||||
| Identifiers |
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