Whalio Doctors

NPI 1871627232

Avalon Programs, LLC

Organisation Substance Abuse Rehabilitation Facility Stillwater, MN

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
Residential Treatment Facilities Taxonomy 324500000X Licence 8307783CDT (MN)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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.