NPI 1871627232
Avalon Programs, LLC
Practice location
- Address
- 1825 Curve Crest Blvd West Suite 103, Stillwater, MN 55082
- Phone
- (651) 351-9325
- Fax
- (651) 351-0162
- Mailing address
- 550 Main Street Suite 230, New Brighton, MN 55112
Authorised official
- Name
- Lisa Marie Asper
- Title
- Director Contract, Cred, and Payer
- Phone
- (612) 454-2046
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1871627232
- Entity type
- Organization
- NPI issued
- 15 Mar 2007
- Record last updated
- 3 Apr 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.