Avalon Center | |
22 N Georgia Ave Suite #102 Mason City IA 50401-3435 | |
(641) 422-0070 | |
(641) 422-0060 |
Full Name | Avalon Center |
---|---|
Speciality | Community/behavioral Health |
Location | 22 N Georgia Ave, Mason City, Iowa |
Authorized Official Name and Position | Leah Jean Weber (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6414220070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avalon Center 22 N Georgia Ave Suite #102 Mason City IA 50401-3435 Ph: (641) 422-0070 | Avalon Center 22 N Georgia Ave Suite #102 Mason City IA 50401-3435 Ph: (641) 422-0070 |
NPI Number | 1003969148 |
---|---|
Provider Enumeration Date | 01/20/2007 |
Last Update Date | 01/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003969148 | NPI | - | NPPES |
1012138 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 8 days ago
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