MINNESOTA TEEN CHALLENGE INC. NPI 1285057539

NPI Information

MINNESOTA TEEN CHALLENGE, INC. is a substance abuse rehabilitation facility in Rochester, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MINNESOTA TEEN CHALLENGE, INC. NPI is 1285057539. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Minnesota Adult & Teen Challenge.

The provider's business location address is:

1530 ASSISI DR NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 288-3733
Fax: (855) 288-8560

The provider's authorized official is Michael William Mahoney .
The authorized official title is Treatment Director and has the following contact phone number (507) 218-3450.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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