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Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Parent organization
MINNESOTA TEEN CHALLENGE, INC.
Other names
Minnesota Adult & Teen Challenge
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA TEEN CHALLENGE, INC.
Authorized official
SADIE TWITE (REVENUE CYCLE DIRECTOR)
(612) 373-3366
Entity
Organization
Contact information
Practice address
3231 1ST AVE S, MINNEAPOLIS, MN 55408-4407
(612) 373-3366
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404
(612) 373-3366
(612) 333-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/21/2015
Last updated
03/02/2023
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