Avalon - Prospect Park

LBN: Avalon Programs, Llc
Avalon - Prospect Park is an health care organization with primary practice located at 2800 University Ave Se Suite 202, Minneapolis MN 55414. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Avalon Programs, Llc can be contacted via phone (612) 638-2282, or through Lindeman, Paul via phone (612) 326-7566.

Contact Information

Primary practice address
2800 University Ave Se Suite 202 Minneapolis MN 55414
Phone: (612) 638-2282
Fax: (612) 326-7642
Website:
Map and Directions
Authorized official contact:
Name: Lindeman, Paul
Phone: (612) 326-7566

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1016848 Minnesota
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1016848-4-CDT Minnesota

Profile Details

NPI number 1104950591
LBN Legal business name Avalon Programs, Llc
DBA Doing business as Avalon - Prospect Park
Authorized official Lindeman, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Dec 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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