Minnesota Teen Challenge, Inc.

NPI #1235514118 in Buffalo, Minnesota

Provider Information

NPI Number
1235514118
Entity Type
Organization
Organization Name
Minnesota Teen Challenge, Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jul 21, 2015
Last Updated
Mar 14, 2022

Practice Location

Address
100 GARRISON AVE NE
ZIP Code
55313
Phone
(612) 373-3366

Authorized Official

Name
DEBRA WARNER
Title
BILLING MANAGER
Phone
(612) 238-6528

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization
Substance Abuse Rehabilitation Facility

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