| NPI | 1669194932 |
|---|---|
| Doing Business As | HAZELDEN MENASHA |
| Entity Type | Organization |
| Authorized Contact | ASHLEY GIBSON VP Payer Relations 651-213-4519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-08-06 |