OrganizationActive
Hazelden Betty Ford Foundation
NPI 1043679350 · Substance Abuse Rehabilitation Facility · Saint Paul, MN
Provider details
- NPI number
- 1043679350
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mary Jo Fleming, Manager, Patient Revenue Cycle(651) 213-4286
- License
- R-222037-0 (MN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
680 Stewart Ave
Saint Paul, MN 55102-4117
Phone: (651) 292-2477
Fax: (651) 227-1599
Approximate (ZIP-level) locationGet directions
Mailing address
680 Stewart Ave
Saint Paul, MN 55102-4117
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2016-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.