Avalon Services Llc | |
37 Park St Ste 302 Lewiston ME 04240-7195 | |
(207) 333-1080 | |
(207) 777-4649 |
Full Name | Avalon Services Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 37 Park St Ste 302, Lewiston, Maine |
Authorized Official Name and Position | Blaine Linton (OWNER) |
Authorized Official Contact | 2074024890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avalon Services Llc 37 Park St Ste 302 Lewiston ME 04240-7195 Ph: (207) 333-1080 | Avalon Services Llc 37 Park St Ste 302 Lewiston ME 04240-7195 Ph: (207) 333-1080 |
NPI Number | 1659923068 |
---|---|
Provider Enumeration Date | 07/15/2019 |
Last Update Date | 02/06/2020 |
Certification Date | 02/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659923068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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