Organization
HAZELDEN BETTY FORD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO FLEMING (MANAGER, PATIENT REVENUE CYCLE)
(651) 213-4286
Entity
Organization
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2477
(651) 227-1599
Mailing address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2477
(651) 227-1599
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
R-222037-0
MN
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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