Organization
HAZELDEN BETTY FORD FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOSELEY MA, CADC (CD PROFESSION 1)
(312) 943-3534
Entity
Organization
Contact information
Practice address
867 N DEARBORN ST, CHICAGO, IL 60610-3310
(312) 943-3534
Mailing address
318 LEE ST, EVANSTON, IL 60202-1898
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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