NPI 1043679350

Hazelden Betty Ford Foundation

Organisation Substance Abuse Rehabilitation Facility Saint Paul, MN

Practice location

Address: 680 Stewart Ave, Saint Paul, MN 55102-4117
Phone: (651) 292-2477
Fax: (651) 227-1599

Authorised official

Name: Mary Jo Fleming
Title: Manager, Patient Revenue Cycle
Phone: (651) 213-4286

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence R-222037-0 (MN)

Other Substance Abuse Rehabilitation Facility providers in Minnesota →

Registry record

NPI: 1043679350
Entity type: Organization
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.