Organization
MINNESOTA TEEN CHALLENGE, INC.
Active
Organization
MINNESOTA TEEN CHALLENGE, INC.
Active
Other names
Minnesota Teen Challenge
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BEAULIEU (BILLING MANAGER)
(763) 257-5301
Entity
Organization
Contact information
Practice address
1717 2ND AVE S, MINNEAPOLIS, MN 55403
(612) 373-3366
(612) 333-4111
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404
(612) 373-3366
(612) 333-4111
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
10090493CDT
MN
Other
Enumeration date
11/07/2006
Last updated
03/15/2021
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