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Hazelden Betty Ford Foundation — NPI 1669194932, Menasha, WI | NPI Central

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NPI 1669194932

OrganizationActive

Hazelden Betty Ford Foundation

NPI 1669194932 · Substance Use Disorder Rehabilitation Clinic/Center · Menasha, WI

Provider details

NPI number: 1669194932
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Hazelden Betty Ford Foundation
Organization subpart: Yes
Authorized official: Ashley Gibson, Vp Payer Relations(651) 213-4519

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities

Practice location

677 Brighton Beach Rd

Menasha, WI 54952-2903

Phone: (800) 257-7800

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

15251 Pleasant Valley Rd

Center City, MN 55012-9640

Other names (DBA / former)

Doing business as: Hazelden Menasha

Registry dates

Enumerated: 2022-09-14
Last updated: 2025-08-06
Certified: 2025-08-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.