NPI | 1063738185 |
---|---|
Former Legal Business Name | HEALTHWORKS, NW |
Doing Business As | HAZELDEN BEAVERTON |
Entity Type | Organization |
Authorized Contact | ASHLEY GIBSON VP Payer Relations 651-213-4519 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2010-04-14 |
Last Update Date | 2025-05-16 |