Organization
MINNESOTA TEEN CHALLENGE, INC
Active
Other names
Minnesota Adult & Teen Challenge
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BEAULIEU (CONTRACT REPRESENTATIVE)
(612) 373-3366
Entity
Organization
Contact information
Practice address
625 BROADWAY ST, ALEXANDRIA, MN 56308-1663
(612) 373-3366
(612) 333-4111
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
(612) 373-3366
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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