NPI 1922448620
Avalon Programs, LLC
Practice location
- Address
- 11900 Wayzata Blvd Suite 100, Minnetonka, MN 55305-2031
- Phone
- (612) 454-2012
- Mailing address
- 550 Main St STE 190, Saint Paul, MN 55112-3271
Authorised official
- Name
- Lewis P Zeidner
- Title
- Ceo
- Phone
- (763) 245-8278
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Addiction (Substance Use Disorder) Counselor
Registry record
- NPI
- 1922448620
- Entity type
- Organization
- NPI issued
- 27 Jun 2013
- Record last updated
- 21 Feb 2025
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.