Organization
HAZELDEN NEW YORK
Active
Organization
HAZELDEN NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RANUM (CFO)
(651) 213-4724
Entity
Organization
Contact information
Practice address
322 8TH AVE, 12TH FLOOR, NEW YORK, NY 10001-8001
(800) 257-7810
(212) 420-9664
Mailing address
322 8TH AVE, 12TH FLOOR, NEW YORK, NY 10001-8001
(800) 257-7810
(212) 420-9664
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
NY
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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