Minnesota Teen Challenge, Inc
Minnesota Teen Challenge, Inc is an Exclusive Provider Organization in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.
- Licensed in
- MN
- In the registry since
- 2010
- 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
2424 Business 371Brainerd, MN 56401-8306
Phone: (218) 833-8777
Fax: (218) 833-8778
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 · Licence 1056824-1-CDT (MN) |
Record details
| NPI number | 1528360591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Beaulieu — Insurance Representative · (763) 257-5301 |
| NPI enumerated | November 24, 2010 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | 2424 Business 371, Brainerd, MN 56401-8306 |