Hazelden Betty Ford Foundation

NPI #1104194208 in Chaska, Minnesota

Provider Information

NPI Number: 1104194208
Entity Type: Organization
Organization Name: Hazelden Betty Ford Foundation
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Dec 5, 2011
Last Updated: May 16, 2025

Practice Location

Address: 1107 HAZELTINE BLVD STE 300
City: Chaska
State: Minnesota
ZIP Code: 55318-1065
Phone: (800) 257-7800

Authorized Official

Name: ASHLEY GIBSON
Title: VP PAYER RELATIONS
Phone: (651) 213-4519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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