Organization · Type 2 NPI

Minnesota Teen Challenge, Inc.

Substance Abuse Rehabilitation Facility · Buffalo, MN

NPI number 1235514118 Active

Practice location

100 Garrison Ave NE
Buffalo, MN 55313

Call (612) 373-3366 Map

Fax (612) 333-4111

Mailing address

740 E 24th St
Minneapolis, MN 55404

Specialties and licenses

Taxonomy	Code	License
Exclusive Provider Organization	302F00000X	None listed
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.

Other substance abuse rehabilitation facility providers in Buffalo

Minnesota Teen Challenge, IncSubstance Abuse Rehabilitation Facility Buffalo, MN NPI 1003662420

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NPI record

NPI: 1235514118
Entity type: Organization (Type 2)
Issued: Jul 21, 2015
Last updated: Mar 14, 2022
Status: Active

Other names

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MN Adult & Teen Challenge, Inc. · doing business as
MN Adult & Teen Challenge, Inc. · doing business as

Authorized official

Debra Warner
Billing Manager
(612) 238-6528

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 1235514118

Minnesota Teen Challenge, Inc.'s National Provider Identifier is 1235514118, issued on Jul 21, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Buffalo, MN. The record was last updated on Mar 14, 2022.