National Provider Identifier Database

AVALON PROGRAMS LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

AVALON PROGRAMS, LLC
1825 CURVE CREST BLVD WEST
SUITE 103
STILLWATER, MN55082
Phone: 651-351-9325
Fax: 651-351-0162
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for AVALON PROGRAMS, LLC

NPI Number 1871627232
Legal business name
LBN
AVALON PROGRAMS, LLC
Authorized official LISA ASPER - (DIRECTOR CONTRACT, CRED, AND PAYER)
Entity Organization
Organization subpart No
Enumeration date 03/15/2007
Last updated 04/03/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 8307783CDT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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