Organization · Type 2 NPI
Minnesota Teen Challnge, Inc.
Substance Abuse Rehabilitation Facility · Brainerd, MN
NPI number
1649636689
Active
Practice location
313 Laurel St
Brainerd, MN 56401-3522
Fax (218) 828-6932
Mailing address
1619 Portland Ave
Minneapolis, MN 55404-1507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1078601-1-CDT (MN) |
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 Brainerd
About NPI 1649636689
Minnesota Teen Challnge, Inc.'s National Provider Identifier is 1649636689, issued on Jan 6, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Brainerd, MN. The record was last updated on Jan 6, 2016.