National Provider Identifier Database

MINNESOTA TEEN CHALLENGE INC
Substance Abuse Disorder 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.


Contact Information

MINNESOTA TEEN CHALLENGE, INC.
1717 2ND AVE S
MINNEAPOLIS, MN55403
Phone: 612-373-3366
Fax: 612-333-4111
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MINNESOTA TEEN CHALLENGE, INC.

NPI Number 1932278538
Legal business name
LBN
MINNESOTA TEEN CHALLENGE, INC.
Authorized official STEPHANIE BEAULIEU - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 03/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 10090493CDT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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