| Organization Name: | AVALON CENTERS, INC. |
| NPI Number: | 1013976513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARTHUR BOESE (CEO) |
| Mailing Address: | 346 Harris Hill Rd Williamsville |
| State: | NY US |
| Postal Code: | 142217407 |
| Phone Number: | 7168390999 |
| Fax Number: | 7168392058 |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9255320A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |