Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Other names
Rockbridge Treatment and Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BEAULIEU (CONTRACT REPRESENTATIVE)
(763) 257-5301
Entity
Organization
Contact information
Practice address
8150 20TH ST SE, BUFFALO, MN 55313-4640
(612) 373-3366
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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