HAZELDEN BETTY FORD FOUNDATION NPI 1538611165

NPI Information

NPI: 1538611165
Provider Name: HAZELDEN BETTY FORD FOUNDATION

Doing Business As: BETTY FORD CENTER AT SAN DIEGO

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
11720 EL CAMINO REAL
SUITE 200
SAN DIEGO, CA
ZIP 92130
Phone: (800) 257-7800
Get Directions

HAZELDEN BETTY FORD FOUNDATION is a rehabilitation and substance use disorder clinic center in San Diego, CA. HAZELDEN BETTY FORD FOUNDATION NPI is 1538611165. The provider is registered as an organization entity type.
The provider Is Doing Business As Betty Ford Center At San Diego.

The provider's business location address is:

11720 EL CAMINO REAL
SUITE 200
SAN DIEGO, CA
ZIP 92130-224
Phone: (800) 257-7800

The provider's authorized official is Arnold Stueber .
The authorized official title is Cfo and has the following contact phone number (651) 213-4729.

The CLIA number assigned to this NPI record is 05D2147672 - other - outpatient substance use with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2016 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes
2	324500000X	Substance Abuse Rehabilitation Facility				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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