Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Minnesota Teen Challenge, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1285057539

Minnesota Teen Challenge, Inc is an Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1530 Assisi Dr NW
Rochester, MN 55901
Phone: (507) 288-3733
Fax: (855) 288-8560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 40 16th St Se Ste E, Rochester, MN 55904-7987 — (612) 373-3366

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Exclusive Provider Organization Taxonomy 302F00000X

Record details

NPI number1285057539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mahoney — Treatment Director · (507) 218-3450
Other names Minnesota Adult & Teen Challenge; Minnesota Adult & Teen Challenge
NPI enumeratedJanuary 22, 2014
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address1619 Portland Ave S, Minneapolis, MN 55404

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