Whalio Doctors

NPI 1922448620

Avalon Programs, LLC

Organisation Substance Abuse Rehabilitation Facility Minnetonka, MN

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
Residential Treatment Facilities Taxonomy 324500000X Licence 1065949 (MN)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 1065949 (MN)

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.