| NPI | 1831216225 |
|---|---|
| Doing Business As | HAZELDEN PLYMOUTH |
| Entity Type | Organization |
| Authorized Contact | ASHLEY GIBSON VP Payer Relations 651-213-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-05-16 |