Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BEAULIEU (INSURANCE REPRESENTATIVE)
(763) 257-5301
Entity
Organization
Contact information
Practice address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8777
(218) 833-8778
Mailing address
2424 BUSINESS 371, BRAINERD, MN 56401-8306
(218) 833-8777
(218) 833-8778
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
1056824-1-CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
03/14/2022
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