Organization · Type 2 NPI

Minnesota Teen Challenge, Inc.

Substance Abuse Rehabilitation Facility · Minneapolis, MN

NPI number 1194802710 Active

Practice location

3231 1st Ave S
Minneapolis, MN 55408-4407

Call (612) 373-3366 Map

Fax (612) 333-4111

Mailing address

740 E 24th St
Minneapolis, MN 55404

Other practice locations

8150 20th St SE, Buffalo, MN 55313-4640 · (844) 815-7625

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility	324500000X	10056573CDT (MN)
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

9 other providers at this address

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NPI record

NPI: 1194802710
Entity type: Organization (Type 2)
Issued: Nov 1, 2006
Last updated: Sep 23, 2024
Status: Active

Other names

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Rockbridge Treatment and Recovery · doing business as
Minnesota Teen Challenge · other name

Authorized official

Sadie Twite
Billing Manager
(612) 238-6540

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194802710

Minnesota Teen Challenge, Inc.'s National Provider Identifier is 1194802710, issued on Nov 1, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 23, 2024.