Minnesota Teen Challenge, Inc
Minnesota Teen Challenge, Inc is an Exclusive Provider Organization in Buffalo, Minnesota. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Garrison Ave NEBuffalo, MN 55313
Phone: (612) 373-3366
Fax: (612) 333-4111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
Record details
| NPI number | 1235514118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Warner — Billing Manager · (612) 238-6528 |
| Other names | Mn Adult & Teen Challenge, Inc.; Mn Adult & Teen Challenge, Inc. |
| NPI enumerated | July 21, 2015 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 740 E 24th St, Minneapolis, MN 55404 |