| NPI | 1831216225 |
|---|---|
| Doing Business As | HAZELDEN PLYMOUTH |
| Entity Type | Organization |
| Authorized Contact | ARNOLD STUEBER CFO 651-213-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-03-25 |