Organization · Type 2 NPI
Hazelden Betty Ford Foundation
Substance Use Disorder Rehabilitation Clinic/Center · Menasha, WI
NPI number
1669194932
Active
Practice location
677 Brighton Beach Rd
Menasha, WI 54952-2903
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 | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1669194932
Hazelden Betty Ford Foundation's National Provider Identifier is 1669194932, issued on Sep 14, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Menasha, WI. The record was last updated on Aug 6, 2025.