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Organization

HAZELDEN BETTY FORD FOUNDATION

Active
Other names
Betty Ford Center at West Los Angeles
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY GIBSON (VP PAYER RELATIONS)
(651) 213-4519
Entity
Organization

Contact information

Practice address
10700 SANTA MONICA BLVD, SUITE 310, LOS ANGELES, CA 90025-4768
(800) 257-7800
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(800) 257-7800

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
10/27/2014
Last updated
05/16/2025
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