Organization
HAZELDEN BETTY FORD FOUNDATION
Active
Parent organization
HAZELDEN BETTY FORD FOUNDATION
Other names
Hazelden Betty Ford Colorado
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAZELDEN BETTY FORD FOUNDATION
Authorized official
JON TRANBY (NATIONAL CONTRACTING MANAGER)
(651) 213-4881
Entity
Organization
Contact information
Practice address
14001 E ILIFF AVE STE 120, AURORA, CO 80014-1417
(844) 239-8389
Mailing address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4881
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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