Minnesota Teen Challenge
Minnesota Teen Challenge is an Exclusive Provider Organization in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.
- Licensed in
- MN
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1542 Assisi Dr NWRochester, MN 55901
Phone: (612) 373-3366
Fax: (612) 333-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Exclusive Provider Organization | Taxonomy 302F00000X (MN) |
Record details
| NPI number | 1336658277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Warner — Billing Manager · (612) 238-6528 |
| Other names | Minnesota Adult & Teen Challenge |
| NPI enumerated | September 22, 2017 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 740 E 24th St, Minneapilis, MN 55404 |
Other providers in Rochester
-
Dr. Nancy Therese Miller, MD
821 3rd Ave SE, Rochester, MN 55904-7340 · (763) 535-9601