Organization · Type 2 NPI

Minnesota Teen Challenge

Substance Abuse Rehabilitation Facility · Rochester, MN

NPI number 1336658277 Active

Practice location

1542 Assisi Drive NW
Rochester, MN 55901

Call (612) 373-3366 Map

Fax (612) 333-4111

Mailing address

740 E 24th St
Minneapilis, MN 55404

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization 302F00000XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1336658277

Minnesota Teen Challenge's National Provider Identifier is 1336658277, issued on Sep 22, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Rochester, MN. The record was last updated on Mar 14, 2022.