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
550 MAIN STREET
SUITE 240
NEW BRIGHTON, MN55112
Phone: 651-647-0095
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for AVALON PROGRAMS, LLC

NPI Number 1952766651
Legal business name
LBN
AVALON PROGRAMS, LLC
Authorized official LEWIS ZEIDNER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 12/22/2015
Last updated 02/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1047590

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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