Minnesota Teen Challnge, Inc.

NPI #1649636689 in Brainerd, Minnesota

Provider Information

NPI Number
1649636689
Entity Type
Organization
Organization Name
Minnesota Teen Challnge, Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jan 6, 2016
Last Updated
Jan 6, 2016

Practice Location

Address
313 LAUREL ST
ZIP Code
56401-3522
Phone
(218) 833-8758

Authorized Official

Name
MR. JAMES VINCENT LANGE, LADC
Title
TREATMENT DIRECTOR
Phone
(218) 833-8758

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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