Organization
MINNESOTA TEEN CHALLENGE, INC.
Active
Other names
Minnesota Adult & Teen Challenge
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE TWITE (REVENUE CYCLE DIRECTOR)
(612) 373-3366
Entity
Organization
Contact information
Practice address
2756 DOUGLAS DR N, CRYSTAL, MN 55422-2402
(612) 373-3366
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
(763) 257-5301
(763) 322-0152
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
12/13/2022
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