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AVALON PROGRAMS LLC NPI 1164556544


NPI Information

NPI: 1164556544
Provider Name: AVALON PROGRAMS, LLC

Doing Business As: NEW BEGINNINGS MINNESOTA AT EAGAN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3740 WASHINGTON DRIVE # 165
EAGAN, MN
ZIP 55122
Phone: (651) 454-2833
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AVALON PROGRAMS, LLC is a substance abuse rehabilitation facility in Eagan, MN. The provider is 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. AVALON PROGRAMS, LLC NPI is 1164556544. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Beginnings Minnesota At Eagan.

The provider's business location address is:

3740 WASHINGTON DRIVE # 165
EAGAN, MN
ZIP 55122
Phone: (651) 454-2833
Fax: (651) 454-2972

The provider's authorized official is Lisa Marie Asper .
The authorized official title is Director Contracting,credentialing and has the following contact phone number (612) 454-2046.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 4/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)MINNESOTANo
2324500000XSubstance Abuse Rehabilitation FacilityMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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