| Hazelden Plymouth | |
|
11505 36th Ave N Plymouth MN 55441-2304 | |
| (800) 257-7800 | |
| Not Available |
| Full Name | Hazelden Plymouth |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 11505 36th Ave N, Plymouth, Minnesota |
| Authorized Official Name and Position | Arnold Stueber (CFO) |
| Authorized Official Contact | 6512134729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelden Plymouth 15251 Pleasant Valley Rd Center City MN 55012-9640 Ph: (800) 257-7800 | Hazelden Plymouth 11505 36th Ave N Plymouth MN 55441-2304 Ph: (800) 257-7800 |
| NPI Number | 1831216225 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831216225 | NPI | - | NPPES |
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