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Avalon - Pine City

NPI #1316151335 in Pine City, Minnesota

Provider Information

NPI Number
1316151335
Entity Type
Organization
Organization Name
Avalon - Pine City
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
655 3RD AVE SW
City
Pine City
State
Minnesota
ZIP Code
55063-1443
Phone
(612) 326-7555

Authorized Official

Name
VALERIE BUNDY
Title
CONTROLLER
Phone
(612) 326-7555

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)

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