NPI | 1104194208 |
---|---|
Doing Business As | HAZELDEN CHASKA |
Entity Type | Organization |
Authorized Contact | ASHLEY GIBSON VP Payer Relations 651-213-4519 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2025-05-16 |