Organization · Type 2 NPI
Hazelden New York
Substance Use Disorder Rehabilitation Clinic/Center · New York, NY
NPI number
1053605923
Active
Practice location
283 W Broadway
New York, NY 10013-2204
Mailing address
15251 Pleasant Valley Rd
Center City, MN 55012-9640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 070411517 (NY) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1053605923
Hazelden New York's National Provider Identifier is 1053605923, issued on Jun 8, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in New York, NY. The record was last updated on May 16, 2025.