Organization
HAZELDEN BETTY FORD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO FLEMING (MANAGER OF PATIENT REVENUE CYCLE)
(651) 213-4286
Entity
Organization
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(866) 545-6439
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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